Hazardous Waste Financial Assurance Forms

Financial Assurance Forms & Form Guidance

For proof of financial responsibility, originally signed duplicates of financial mechanism(s) shall be submitted on the appropriate form(s) pursuant to Rule 62‑730.180(6)(a), F.A.C.. DEP Form 62‑730.900(4)(a)-(r) are available below.

Note: If a letter of credit or a surety bond is used, a standby trust fund agreement [Forms 62-730.900(4)(f) or (r)] is also needed.

Financial Responsibility Forms

Financial Test and Corporate Guarantee

• Financial Test [Form 62-730.900(4)(a)].
• Financial Test (with Liability Coverage) [Form 62-730.900(4)(b)].
• Corporate Guarantee [Form 62-730.900(4)(c)].
• Corporate Guarantee (for Liability Coverage) [Form 62-730.900(4)(d)].

Trust Fund and Standby Trust Fund Agreements

• Trust Fund [Form 62-730.900(4)(e)].
• Standby Trust Fund [Form 62-730.900(4)(f)].
• Trust Fund for Liability Coverage [Form 62-730.900(4)(q)].
• Standby Trust Fund for Liability Coverage [Form 62-730.900(4)(r)].

Letter of Credit

• Letter of Credit* [Form 62-730.900(4)(g)].
• Letter of Credit for Liability Coverage* [Form 62-730.900(4)(o)].

Surety Bonds

• Financial Guarantee Bond* [Form 62-730.900(4)(h)].
• Performance Bond* [Form 62-730.900(4)(i)].
• Surety Bond for Liability Coverage* [Form 62-730.900(4)(p)].

Insurance

• Insurance Certificate [Form 62-730.900(4)(j)].
• Insurance Certificate for Liability Coverage (Primary Policy) [Form 62-730.900(4)(k)].
• Insurance Certificate for Liability Coverage (Excess/Surplus Policy) [Form 62-730.900(4)(l)].
• Endorsement for Liability Coverage (Primary Policy) [Form 62-730.900(4)(m)].
• Endorsement for Liability Coverage (Excess/Surplus Policy) [Form 62-730.900(4)(n)].

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* - A standby trust fund agreement [Form 62-730.900(4)(f) or (r)] is also needed when using Forms 62-730.900(4)(g), (h), (i), (o) and  (p).

Delegation of Authority Letter

Signatory for the owner or operator on bonds, trust funds and letters of credit cover letters should be the president of a corporation, managing member of an LLC or equivalent for entity type. If the name of the president (or equivalent) is not found on the Florida Division of Corporations website (Sunbiz), or if anyone else signs, additional documentation will be required.

Looking for other Hazardous Waste forms?

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Contact Information

• Edgar.Echevarria@FloridaDEP.gov, 850-245-8793 (Hazardous Waste; Storage Tanks) (Disponible para ayuda en español.)
• Chantay.Jerger@FloridaDEP.gov, 850-245-8888 (All Solid Waste and Used Oil facilities)

Shared mailbox: Financial.Assurance.Working.Group@FloridaDEP.gov
If your regular contact cannot be reached, feel free to contact any of the other team members.

Mail completed original signature documents to:

Financial Assurance Working Group
Florida Department of Environmental Protection
2600 Blair Stone Road MS 4548
Tallahassee, FL 32399-2400

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