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Title

Delegation of Authority Form

 
Form number Date Published Date Revised
ECY 070-758 June 2024 October 2024
VIEW NOW Delegation of Authority Form (Number of pages: 2) (Publication Size: 271KB)




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Description This form provides authorization from a vessel or facility owner or operator to have an authorized respresentative submit an application for a Washington Certificate of Financial Responsibility on behalf of the facility or vessel owner or operator.
REQUEST A COPY 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
Contact Diana Davis at 425-758-0483 or Diana.Davis@ecy.wa.gov
Keywords COFR, Certificate of Financial Responsibility, Delegation of authority
RELATED PUBLICATIONS Title:

Proof of Financial Responsibility - Instructions

Chief Financial Officer Letter Agreement Form