Document: 

Form 62-761.900(3) Part N

Other Forms Needed, Examples, and Links:

Guarantee Specific Guidance

  • Period of Coverage for the guarantee: Enter the Period of Coverage for supporting instrument - see that Part's guidance.
  • The actual Guarantee is evergreen and does not require updating unless its details change.

What to Do with Completed Forms

  • An owner or operator must maintain financial responsibility records (copies of the completed form parts with required supporting documentation) at the facility or at their business office.
  • If not kept at the facility, they shall be made available at the facility or another agreed upon location upon five business days notice by a department or county inspector.

Return to the Storage Tank Financial Assurance Forms (Mechanisms) webpage.

Form Number: 
62-761.900(3) Part N
Effective-Revision Date: 
Sunday, June 25, 2023
Last Modified: Tuesday, Nov 19, 2024 - 10:45am