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, bond or insurance is used, a standby trust fund agreement
[Form 62-701.900(5)(h)] is also needed.
General information and guidance on multimedia features on these forms.
Financial Assurance Forms
Insurance Certificate (New requirement: Standby Trust Fund needed)
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
or if anyone else signs, additional documentation will be required.
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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 assistance.
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)
Edgar.Echevarria@dep.state.fl.us (850) 245-8793 (Hazardous Waste and Used Oil facilities; Storage Tanks)
Office Fax (850) 245-8803 - Please phone when faxing as the fax machine is not monitored.
Mail completed original signature documents to:
Financial Assurance Subsection
Florida Department of Environmental Protection
2600 Blairstone Road MS 4548
Tallahassee, Florida 32399-2400