Official Website of the Wisconsin
Department of Safety and Professional Services
Announcement of Creation of DSPS by Secretary Dave Ross
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Petroleum and Tanks

Environmental and Regulatory Services

PECFA and Storage Tanks:
201 W. Washington Ave.
Madison, WI 53703


Media Contact Only:
Katherine Koschnick
(608) 266-2112
Katherine.Koschnick@wi.gov

Office of Governor
Scott Walker
Link to Governor Walkers's web site

 
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Basic Forms and Documents

PECFA Barrier Maintenance Plan Template

Claim Submittal Checklist

PECFA Initial Application and Eligibility Request

PECFA Claim Packet Request

PECFA Financial Statement

Application For Waiver Of PECFA Deductible

Application for Reduction of PECFA Deductible

PECFA Close Out Form (Rev.7/11) - form fields added for electronic data entry

PECFA Close Out Form (Rev.7/11)

DNR GIS Registry Checklist

Form 6 Agent Assignment Certification (ERS-8079)

Form 6CA Consultant Agent Pre-qualification (ERS-10871)

Form Substitute W-9 Taxpayer Identification Number (TIN) Verification (ERS-10006)


 

Please contact us at (608) 267-3753 with any questions, comments or suggestions about these forms and documents.