Forms and Applications

For more information regarding PPR guidance documents, please see the Manuals and Guidance page

Date	Title and Document Download	Category	Program	Description
7/30/2018	Surface Oiling Permit (PDF 165K)	Permits		Permit for applying oil to a road surface for dust control
7/30/2018	Contingency Plan Verification Log (PDF 624K)	Contingency Plans		This log is to be completed by terminal facility owners/operators who are subject to the requirements of AS 46.04.030 and 18 AAC 75, Article 4, and who transfer petroleum to or from tank vessels, oil barges, non tank vessels over 400 GRT or rail cars carrying petroleum products as cargo in Alaskan waters
7/30/2018	Facility Location Data Sheet (PDF 226K)	Contingency Plans		This form is to be used to log the collection of location information for applicable regulated facilities and spill sites
7/30/2018	Streamlined Oil Discharge Prevention and Contingency Plan Application (PDF 525K)	Contingency Plan	TGU	Streamlined Oil Discharge Prevention and Contingency Plan Application for approval and Plan Document
7/30/2018	Primary Response Action Contractor Application (PDF 143K)	Primary Response Action Contractor		Oil spill primary response action contractor application for registration, for both new application and renewals
7/30/2018	Request for Skimmer System Efficiency Evaluation (PDF 204K)	Contingency Plans		This form is to be completed by plan holders to make a request to modify the standard effective oil recovery capacity of 20 percent
7/30/2018	Financial Responsibility Guaranty, Form B (PDF 141K)	Financial Responsibility		Contractual form for coverage with parent company or other corporate guarantor
7/30/2018	Financial Responsibility Surety Bond, Form A (PDF 59K)	Financial Responsibility		Contractual form for coverage with state approved suretor
7/30/2018	Financial Responsibility Application (PDF 243K)	Financial Responsibility		New and renewal application for financial responsibility
7/30/2018	Nontank Vessel Financial Responsibility Application (PDF 266K)	Financial Responsibility, Marine Vessels		Nontank vessel and railroad financial responsibility application with instructions
7/30/2018	Underground Storage Tank Financial Responsibility Application (PDF 277K)	Financial Responsibility		Owners or Operators of Underground Storage Tank systems are required to provide proof of Financial Responsibility annually to the DEC
7/29/2018	Statement of Contractual Terms Form (PDF 120K)	Contingency Plans		Statement of contractual terms between the plan holder and the PRAC, also includes supplemental statement for Trans Alasaka Pipeline System Vessels
3/29/2019	Change of Ownership (PDF 84K)	Contingency Plans		Change of Ownership Supplemental Form for an Oil Discharge Prevention and Contingency Plan
4/17/2019	Ballast Water Discharge Form (PDF 120K)	Marine Vessels		A form used to certify that ballast water has not been discharged from a cargo tank of a tank vessel into the waters of the state
10/14/2020	Streamlined Plan Cleanup Contractor Application (PDF 208K)	Contingency Plans		Streamlined Oil Discharge Prevention and Contingency Plan Cleanup Contractor Application
10/14/2020	Streamlined Plan Incident Management Team Application (PDF 228K)	Contingency Plans		Streamlined Oil Discharge Prevention and Contingency Plan Incident Management Team Application
10/14/2020	IMT Identified Personnel SOQ (PDF 233K)	Contingency Plans		Streamlined Oil Discharge Prevention and Contingency Plan Incident Management Team Identified Personnel Statement of Qualifications
10/14/2020	Streamlined Plan Response Planning Facilitator Application (PDF 170K)	Contingency Plans		Streamlined Oil Discharge Prevention and Contingency Plan Streamlined Plan Response Planning Facilitator Application
11/24/2020	Noncrude Oil Tank Vessel or Barge Application Addendum (PDF 155K)	Marine Vessels	PPR-TGU	Addendum to be submitted with an application for a Streamlined Plan for noncrude oil tank vessels and oil barges.
12/2/2020	Streamlined Plan Notification of Termination or Suspension (PDF 120K)	Contingency Plans	PPR-TGU	Use this form to notify the department of a voluntary change to plan status to suspend or terminate a Streamlined plan. Please note that only nontank vessels can suspend a streamlined plan.
12/2/2020	Streamlined Plan Statement of Contractual Terms – Cleanup Contractor (PDF 112K)	Contingency Plans	PPR-TGU	This form is used to verify that a contract is in place between a plan holder and cleanup contractor and is submitted with the Streamlined Plan Application and Addendum for a noncrude tank vessel or barge unless a Response Planning Facilitator is used.
12/2/2020	Streamlined Plan Statement of Contractual Terms – Incident Management Team (PDF 123K)	Contingency Plans	PPR-TGU	This form is used to verify that a contract is in place between a plan holder and incident management team and is submitted with the Streamlined Plan Application and Addendum for a noncrude tank vessel or barge unless a Response Planning Facilitator is used.
12/2/2020	Streamlined Plan Statement of Contractual Terms – Response Planning Facilitator (PDF 180K)	Contingency Plans	PPR-TGU	This form is used to verify that a contract is in place between a plan holder and a Response Planning Facilitator if one is used.
7/13/2023	Contingency Plan Application (PDF 306K)	Contingency Plans		Application for approval of an Oil Discharge Prevention and Contingency Plan: Use for applications submitted under regulations effective on or after July 13, 2023.
2/14/2023	Streamlined Plan Exercise Self-certification Form (PDF 261K)	Contingency Plans		Streamlined Oil Discharge Prevention and Contingency Plan exercise self-certification form
9/15/2023	Applicant Spot Charter Checklist (PDF 155K)	Marine Vessels		A form used as a checklist for Applicants for Spot Charter Vessels