Title | Attestation Form |
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Attestation Form (Number of pages: 2) (Publication Size: 290KB)
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Description | Certificate of Financial Responsibility applicants may use this form to declare that, to the best of their knowledge, their application is complete and correct and to acknowledge they are the responsible party in the event of an oil spill. | ||||
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The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.
ADA Accessibility The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188. Visit Ecology’s website for more information |
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Contact | Diana Davis at 425-758-0483 or Diana.Davis@ecy.wa.gov | ||||
Keywords | COFR, Certificate of Financial Responsibility, attestation | ||||
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Proof of Financial Responsibility - Instructions Certificate of Insurance Form Chief Financial Officer Letter Agreement Form |
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