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Kentucky Energy and Environment Cabinet

​Below are forms used within this branch and the related law that each form is encompassed or incorporated under.

Forms Library
DownloadCategoryFile Size
DWM6035A Template - HW - Trust Agreement_Closure, Postclosure.pdfFinancial Assurance166603
DWM6035A Template CA - HW - Trust Agreement_Closure, CA, Postclosure.pdfFinancial Assurance167181
DWM6035B Template - HW - Financial Guarantee Bond_Demonstrate Closure, Postclosure Care.pdfFinancial Assurance186068
DWM6035C Template - HW - Performance Bond_Demonstrate Closure, Postclosure Care.pdfFinancial Assurance153248
DWM6035D CA Template - HW - Cover Letter_Credit for Closure, CA, Postclosure Care.pdfFinancial Assurance185409
DWM6035D Template - HW - Cover Letter_Credit for Closure, Postclosure Care.pdfFinancial Assurance185730
DWM6035E Template - HW - Certificate of Insurance for Closure, Postclosure Care.pdfFinancial Assurance10881
DWM6035F Template - HW - Letter CFO_Demonstrate Assurance of Closure, Postclosure Care.pdfFinancial Assurance152106
DWM6035G Template - HW - Letter CFO_Demonstrate Liability Coverage and Assurance of Closure, Postclosure Care.pdfFinancial Assurance165890
DWM6035H1 Template - HW - Corp Guarantee_Closure, Postclosure Care.pdfFinancial Assurance150930
DWM6035H2 Template - HW - Corp Guarantee_Liability Coverage.pdfFinancial Assurance158184
DWM6035I_J Template - HW - Site_Bond to Demonstrate Closure, Postclosure Care.pdfFinancial Assurance166041
DWM6035K Template - HW - Site_Liability Endorsement.pdfFinancial Assurance140076
DWM6035L Template - HW - Site_Cert Liability Insurance.pdfFinancial Assurance138765
DWM6035N Template - HW - Irrevoc Standby Letter Credit_Demonstrate Liability Coverage w Standby Trust Agreement.pdfFinancial Assurance15447
DWM6035O Template - HW - Payment Bond_Demonstrate Liability Coverage.pdfFinancial Assurance31549
DWM6035P Template - HW - Trust Agreement_Demonstrate Liability Coverage.pdfFinancial Assurance58622
DWM6035Q Template - HW - Irrevoc Standby Letter Credit_Demonstrate Liability Coverage.pdfFinancial Assurance77047
DWM6035R Template - HW - Standby Trust Agreement Letter of Credit_Demonstrate Liability Coverage.pdfFinancial Assurance52437
DWM7087H Form - HW - Applicant Compliance Record.pdfFinancial Assurance359021
Kentucky Energy and Environment Cabinet
300 Sower Blvd
Frankfort, KY 40601

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The Kentucky Energy and Environment Cabinet does not discriminate against any person on the basis of race, color, national origin, religion, age, disability or sex. This policy protects the rights of Cabinet employees, service applicants and customers. Vendors, agencies and organizations providing services to the Cabinet or its recipients of federally-aided programs also must comply with this policy.

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