Publications & Forms

We have resources to help you understand DTSC’s cleanup, permitting, enforcement, and investigation efforts

Forms Index

Fact Sheets Index
Publications Index

CategoriesDocument TitleDate
Brownfields Tax IncentivesU.S. Taxpayer Relief Act - Brownfields Tax Incentive Submittal Form for a Qualified Contaminated Site2002/04
DTSC 1220CUPA Form 12202007/10
DTSC 1004Oil Shipment Certification2008/06
DTSC 1151Tiered Permitting Phase I Environmental Assessment Checklist1999/06
DTSC 11541154 - Instructions for Completing Closure/Postclosure Trust or Standby Trust Agreement2013/02
DTSC 1154CL1154CL - Instructions for Completing Closure/Postclosure and Liability Trust Agreement or Standby Trust Agreement2013/02
DTSC 1154L1154L - Instructions for Completing Liability Trust Agreement2013/02
DTSC 1154O1154O - Instructions for Completing Liability Standby Trust Agreement2013/02
DTSC 1154S1154S - Instructions for Completing Operations and Maintenance Trust/Standby Trust Agreement2013/02
DTSC 1154U1154U - Instructions for Completing Closure Trust or Standby Trust Agreement (Permit by Rule or Conditional Authorization - Closure)2013/02
DTSC 11551155 - Financial Guarantee Bond - Closure2010/12
DTSC 1155S1155S - Instructions for Operation and Maintenance Financial Guarantee Bond2013/02
DTSC 1155U1155U - Instructions for Financial Guarantee Bond Closure - Permit-by-Rule or Conditionally Authorized2013/02
DTSC 11571157 - Instructions for Irrevocable Standby Letter of Credit (Closure and/or Postclosure)2010/10
DTSC 1157CL1157CL - Instructions for Irrevocable Standby Letter of Credit (Closure/Postclosure and Liability)2013/02
DTSC 1157L1157L - Instructions for Irrevocable Standby Letter of Credit (Sudden and Nonsudden Liability)2010/10
DTSC 1157S1157S - Instructions for Irrevocable Standby Letter of Credit (Operations and Maintenance)2010/10
DTSC 1157U1157U - Instructions for Irrevocable Standby Letter of Credit (Permit by Rule or Conditional Authorization - Closure)2010/10
DTSC 11581158 - Instructions for Certificate of Insurance (Closure and/or Postclosure)2019/01
DTSC 1158S1158S - Instructions for Certificate of Insurance (Operations and Maintenance)2019/01
DTSC 1158U1158U - Instructions for Certificate of Insurance (Permit by Rule or Conditional Authorization - Closure)2019/01
DTSC 11591159 - Instructions for Financial Test for Closure and Postclosure2019/01
DTSC 1159S1159S - Instructions for Financial Test for Operations and Maintenance2019/01
DTSC 1159U1159U - Instructions for Financial Test - Closure (Permit by Rule or Conditional Authorization)2019/01
DTSC 11601160 - Instructions for Certificate of Insurance (Liability - Sudden/Non-Sudden)2019/01
DTSC 11611161 - Instructions for Liability Endorsement (Liability - Sudden/Non-Sudden)2019/01
DTSC 11621162 - Instructions for Financial Test for Liability or, Liability, Closure and/or Post-Closure2019/01
DTSC 1171DTSC Form 11712007/10
DTSC 11731173 - Instructions for Guarantee for Closure and/or Postclosure2019/01
DTSC 1173S1173S - Instructions for Guarantee for Operations and Maintenance2019/01
DTSC 1173U1173U - Instructions for Guarantee - Closure (Permit by Rule or Conditional Authorization)2019/01
DTSC 11741174 - Instructions for Guarantee for Liability2019/01
DTSC 1294Transportation Regulatory Exemption Application/Variance, DTSC Form 12942012/04
DTSC 1306Affidavit in Support of Designation as a Qualified Contaminated Site2004/10
DTSC 1313Storage Extension Application for Generators2003/05
DTSC 1358California Hazardous Waste Permanent ID Number Application2017/01
DTSC 1359HELP Hospital Partnership Sign Up Form2003/05
DTSC 1360HELP POTW Partnership Sign Up2003/05
DTSC 1365DTSC 1365 Disclosure Statement Form and Instructions2015/05
DTSC 1375HELP Hospital System Sign Up Form2003/12
DTSC 1388Notice of Intent to Handle and Treat or Recycle: DTSC Form 13882009/08
DTSC 1428Certified Appliance Recycler Application2014/07
DTSC 1430Form 1430: Certified Appliance Recycling2005/12
DTSC 1443Complaint Form for Denial of Services2006/07
DTSC 1447Model Application for Corrective Action Delegation Form 14472008/01
DTSC 1447 - FillableUPA Model Application For Corrective Action Delegation Form 1447A-M-Fillable2008/01
DTSC 1447 - InstructionsModel Application for Corrective Action Delegation Form 1447 - Instructions2008/01
DTSC 1459Certified Appliance Recycler Orphan Waste Form2007/12
DTSC 1493E-waste Annual Report for businesses with many collection sites2011/01
DTSC 8464DTSC Form 84642007/10
DTSC 1471DTSC Form 14712011/06
DTSC 1478Notification for Exporting Electronic Waste2010/06
DTSC 1093BInstructions 1093B2006/08
DTSC 1094BInstructions and Form 1094B for Permit by Rule Notification for Permanent Household Hazardous Waste Collection Facilities2008/11
DTSC 1197Transportable Treatment Unit Permit By Rule Site Specific Notification2015/08
DTSC 1199Transportable Treatment Unit Permit By Rule/Conditional Exemption Unit Specific Notification2015/08
GroundwaterGroundwater Remediation Loan Program - Loan Application (printable PDF form)2001/07
DTSC 1460Request for Agency Oversight of a Brownfield Site2013/05
DTSC 1444One-Time Notification for Perchlorate Materials- DTSC Form 14442007/01
Prospective Purchaser AgreementProspective Purchaser Application2001/05
Prototype Environmental Oversight AgreementPrototype Environmental Oversight Agreement2004/03
Reporting ReleasesReporting Nonemergency Hazardous Waste Releases2008/01
DTSC 1381Environmental Oversight Program Application2005/09
DTSC 1309Supplemental Insurance Coverage Form 13092007/11
DTSC 8038Certificate of Insurance for Public Liability Coverage - Form 80382007/11
DTSC 1299Consolidated Transporter Notification Form 12992007/11
DTSC 187Hazardous Waste Transporter Registration Application - Form 1872007/11
DTSC 1602Communication Assistance Resolution2015/06
DTSC 1602E - SpanishComunicación de Resolución Asistencia2015/06
DTSC 1443Civil Rights Complaint Form2018/03
DTSC 1443 - SpanishFormulario de Denuncia de Derechos Civiles2018/03

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