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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 125K) 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

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