{"id":5621,"date":"2023-04-05T16:23:30","date_gmt":"2023-04-05T16:23:30","guid":{"rendered":"https:\/\/deptest.nj.gov\/srp\/?page_id=5621"},"modified":"2025-12-31T16:44:08","modified_gmt":"2025-12-31T16:44:08","slug":"ust","status":"publish","type":"page","link":"https:\/\/deptest.nj.gov\/srp\/forms\/ust\/","title":{"rendered":"UST"},"content":{"rendered":"

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Underground Storage Tanks-Related Forms<\/h4>\n

IMPORTANT:<\/strong>
\nThe Contaminated Site Remediation & Redevelopment has recently amended program rules with respect to the Site Remediation Reform Act (SRRA). CSRR has revised many of the forms to reflect these changes. The updated forms are available at CSRR Forms Library<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Form\/ Doc# Rev. or Posting Date<\/th>\nForm\/ Document Name & Description<\/th>\nFormats Available<\/th>\n<\/tr>\n
\n

Authorization Form for UST Registration<\/strong>
\nUse this form to authorize a third party to certify as the owner and\/or operator during the online registration process.<\/p>\n<\/td>\n

Form<\/a> [pdf]<\/span><\/td>\n<\/tr>\n
\n

Installer Certification Form<\/strong>
\nUse this form for new UST installations or returning out-of-service USTs to service. It should be uploaded during the UST Facility Certification Questionnaire service.<\/p>\n<\/td>\n

Form<\/a> [pdf]<\/span>
\nChange Log<\/a> [pdf]<\/span><\/td>\n<\/tr>\n
<\/a>UST-010<\/strong>
\nRev: 8\/97<\/span>
\nPosted: 21 December 2016<\/span><\/td>\n		UST Substantial Modification Permit application form<\/strong><\/td>\nMS Word<\/a> [doc]<\/span>
\nAdobe Acrobat<\/a> [pdf]<\/span><\/td>\n<\/tr>\n
<\/a>UST-010a<\/strong>
\nRev: 8\/97<\/span>
\nPosted: 21 December 2016<\/span><\/td>\n		UST Substantial Modification Permit Application Instructions<\/strong><\/td>\nMS Word<\/a> [doc]<\/span>
\nAdobe Acrobat<\/a> [pdf]<\/span><\/td>\n<\/tr>\n
\n

Form<\/strong>
\nVersion: 1.5
\nPosted: 17 September 2018<\/span><\/p>\n<\/td>\n

Out of Service Extension Request for an Underground Storage Tank System<\/strong><\/td>\nForm<\/a> [pdf]<\/span>
\nInstructions<\/a> [pdf]<\/span><\/td>\n<\/tr>\n
\n

Note: The Online UST Registration Service will become mandatory as of December 2, 2024. As of that date, paper Facility Certification Questionnaires will no longer be accepted. Please click Online UST Registration Service Notice<\/a> [pdf]<\/span> for more information.<\/p>\n<\/td>\n<\/tr>\n

<\/a>UST-021<\/strong>
\nVersion: 2.4
\nPosted: 17 September 2024<\/span><\/td>\n		UST Facility Certification Questionnaire<\/strong><\/p>\n

Use this questionnaire for initial registration and for corrections or amendments to existing facility registration.<\/td>\n

\n

Submit UST Facility
\nCertification Online<\/a><\/p>\n

Annual Renewal\/Modification of UST Facility Registration Instructions<\/a> [pdf]<\/span><\/p>\n

Initial UST Facility Registration Instructions<\/a> [pdf]<\/span><\/p>\n

Financial Responsibility Insurance Policy Update Instructions<\/a> [pdf]<\/span><\/p>\n

Change Log<\/a> [pdf]<\/span><\/p>\n

FAQs<\/a> [pdf]<\/span><\/td>\n<\/tr>\n

\n

Attachments for UST-021 Form – Financial Responsibility for Regulated Underground Storage Tanks (USTs) Certifications:<\/p>\n

UST Financial Responsibility Info<\/a><\/td>\n<\/tr>\n

<\/a>Attachment to UST-021<\/strong>
\nRev: 12\/03
\nPosted: 5 March 2004<\/span><\/td>\n		Financial Test of Self – Insurance<\/strong><\/p>\n

This form should be completed and attached to the UST Facility Certification Questionnaire when Self Insurance is chosen as a Financial Responsibility Insurance type in Section C of the Questionnaire.<\/td>\n

MS Word<\/a> [doc]<\/span>
\nAdobe Acrobat<\/a> [pdf]<\/span>
\nZip of Word Doc<\/a> [zip]<\/span><\/td>\n<\/tr>\n
<\/a>Attachment to UST-021<\/strong>
\nRev: 12\/03
\nPosted: 5 March 2004<\/span><\/td>\n		Financial Test for Local Government<\/strong><\/p>\n

This form should be completed and attached to the UST Facility Certification Questionnaire when Local Government is chosen as a Financial Responsibility Insurance type in Section C of the Questionnaire.<\/td>\n

MS Word<\/a> [doc]<\/span>
\nAdobe Acrobat<\/a> [pdf]<\/span>
\nZip of Word Doc<\/a> [zip]<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Related Links<\/h5>\n