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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
General information and guidance on multimedia features on these forms.

Financial Assurance Forms

Irrevocable Letter of Credit

Financial Guarantee Bond

Performance Bond

Insurance Certificate (New requirement: Standby Trust Fund needed)

Financial Test

Corporate Guarantee

Trust Fund Agreement

Standby Trust Fund Agreement

Interlocal Agreements

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 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

Last updated: November 04, 2016

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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