Solid Waste Financial Assurance Forms
For proof of financial assurance, originally signed duplicates of letters of credit, surety bonds,
standby trust fund agreements, trust fund agreements, closure insurance, financial tests and corporate
guarantees shall be submitted on the appropriate parts of FDEP Form 62-701.900(5), pursuant to
Rule 62-701.630(6)(a), F.A.C.
Note: If a letter of credit or bond is used, a standby trust fund agreement
[Form 62-701.900(5)(h)] is also needed.
General Information
General information and guidance on multimedia features on these forms.
Financial Assurance Forms
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.
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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
or faxed to us so that we may verify data accuracy and form completeness. Contact
anyone from the list below for help.
Tor.Bejnar@dep.state.fl.us
(850) 245-8743 (South, Southeast and Southwest DEP District facilities)
Susan.F.Eldredge@dep.state.fl.us
(850) 245-8740 (Northeast, Northwest and Central DEP District facilities)
Office Fax (850) 245-8811 - Please phone when faxing as the fax machine is not monitored.
Mail completed original signature documents to:
Solid Waste Financial Coordinator
Florida Department of Environmental Protection
2600 Blair Stone Road MS 4565
Tallahassee, Florida 32399-2400
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Solid Waste Financial Assurance Forms
2012 State of Florida