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Corner of TabGeneral Guidance for Hazardous Waste Financial Responsibility Forms Corner of TabHighlights

We take great care to make sure the financial documents are completed accurately. Feel free to contact us with form or data specific questions when filling financial assurance forms. We recommend completed forms (prior to being signed) be e-mailed to us so that we may verify data accuracy and form completeness. Contact anyone from the list below for assistance.

General Guidance

  • Check Boxes: Check the appropriate box(es) for the “Required Actions” covered by this instrument.
  • Legal name of Owner or Operator: The Owner or Operator’s (Permittee) legal company name must exactly match (including abbreviations and punctuation) the name as listed with the Division of Corporations and the company "Status" must be listed as "Active". The exact spelling can be checked at Sunbiz.org. If DEP form requires the Owner or Operator name to be entered multiple times, please copy and paste the exact name in each blank.
  • Legal name of Provider Company: Legal name (not trademark or fictitious name) must be used or included. The exact spelling may be checked at FDIC (for most banks), Circular 570 (for all bonds) or Sunbiz.org.
  • FDEP ID number = EPA ID number: This is a 12 digit 'number' beginning with "FL".
  • Facility Name and Site Address: The facility name must match the facility name as stated in the FDEP permit application. The site address is the address of the physical location of the facility; this address cannot be a P.O. Box.
  • Signatures: When a person signing for the owner or operator is not the president of a corporation, managing member of an LLC or equivalent for entity type, a delegation of authority letter may be required. If the president (or equivalent) is not found on the Florida Division of Corporation website (Sunbiz.org) additional documentation will be required. Please sign in Blue Ink.

Instrument Specific Guidance

  • Bonds:
  • Trust Funds and Standby Trust Funds: Trustee entering into this agreement must be an entity which has the authority to act as a Trustee and whose operations are regulated and examined by a Federal or State agency. Most banks with trust powers can be verified with FDIC.
  • Insurance:
    • Effective Date (on page 1) is the date the policy originally became effective; it will not change unless a new policy (with a new policy number) is issued. The date the certificate is signed (notary/witness date) is the date any changes to the policy take place associated with this certificate.
    • Insurer seal: We appreciate the certificate having the embossed seal of the Insurer.
  • Financial Tests: Submission must include 1. Chief Financial Officer (CFO) Letter, 2. Special Report, and 3. Auditors statement from fiscal year end.
  • Letters of Credit:

Contact Information

Feel free to contact us with form or data specific questions when filling financial assurance forms. We recommend completed forms (prior to being signed) be e-mailed to us so that we may verify data accuracy and form completeness. Contact anyone from the list below for assistance.

Edgar.Echevarria@dep.state.fl.us (850) 245-8793 Disponible para ayuda en español. (Hazardous Waste; Storage Tanks)

Tor.Bejnar@dep.state.fl.us (850) 245-8743 (Solid Waste - South, Southeast and Southwest DEP District facilities)
Susan.F.Eldredge@dep.state.fl.us (850) 245-8740 (Solid Waste - Northeast, Northwest and Central DEP District facilities; and Used Oil facilities)

Mail completed original signature documents to:

Financial Assurance Subsection
Florida Department of Environmental Protection
2600 Blairstone Road MS 4548
Tallahassee, Florida 32399-2400


Last updated: September 25, 2017

Permitting and Compliance Assistance Program #850-245-8705 MS #4565

 

Division of Waste Management #850-245-8705 MS #4500
2600 Blair Stone Road, Tallahassee, Florida 32399-2400

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