Connecticut Forms & Info:

Click On Below Linds to Download Forms & Instructions

  1. Quick Facts
  2. DEP 'Assignment Designation' Form
  3. DEP's 'Resolution' Forms (complete the one applicable to your particular company, and delete the others)
  4. NatLUST CT-1 Assignment Form CT-1 (use this along with DEP "Assignment Direction" form
  5. Direct Deposit Enrollment Form
  6. How to Receive Automated E-Mailed Reports
  7. NatLUST's Current Initial Payment Percentage
  8. Link to Connecticut DEP's UST Section
  9. IRS W-9 Form (Link to IRS Site)
  10. UCC-3 Release Sample Form Letter
  11. Sample UCC-3 Filing
  12. Link To Check if Claimant Has Pledged Assets
  13. NatLUST's Letter to Stakeholders Announcing Program

 

Virginia Forms & Info:

Click on Below Links to Download Forms & Instructions

  1. Virginia Instructions
  2. Instructions to Receive Decision Summary Directly From Virginia's DEQ
  3. DEQ "Modified Form 2 (This is the Only Assignment Form Required)
  4. NatLUST's Assignment Form (Can Use This in Addition to DEQ Form 2 But Is Not Mandatory)
  5. Link to DEQ's Claims Status Report
  6. Sign Up for Direct Deposit (for parties that receive recurring payments)
  7. Instructions to Receive Automated E-Mailed Reports
  8. IRS W-9 Form
  9. Sample Power-of-Attorney