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Hazardous Waste Facility Surety Bond to Demonstrate Liability Coverage

  • A Standby Trust Fund Agreement w/Liability must also be established when using this bond for financial assurance.
  • Submitted documents must have original signatures; stamped signatures and document photocopies are not acceptable.
  • Surety must be listed with Circular 570.
  • Power of Attorneys (POAs) must have embossed seals.
  • Check the Legal Entity name (owner/operator) at
  • See additional resources below under "Form Instructions".

Return to the Hazardous Waste Financial Assurance Forms webpage.

Form Number: 
Effective-Revision Date: 
Sunday, January 29, 2006
Last Modified:
May 18, 2022 - 2:59pm

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