
Montana Petroleum Tank Release Compensation Board Owner/Operator s Report of Insurance or Other Third Party Liability Form 7 This form must be completed and submitted before the Board will make its first reimbursement payment to you. With my signature I subrogate and assign my rights to the Petroleum Release Compensation Board to seek reimbursement compensation and/or contribution from any person or company who may through contract tort or otherw.
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How to fill out the MT PTRCB Form 7 online
The MT PTRCB Form 7 is essential for obtaining reimbursement for corrective action costs associated with petroleum releases. This guide provides a clear, step-by-step approach for filling out the form online, ensuring all necessary information is accurately reported.
Follow the steps to complete the form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the contact information section, provide the names, addresses, phone numbers, and email addresses for the tank owner, tank operator, and property owner as applicable.
- Fill out the facility information section by entering the facility name, facility number, release number, and city.
- In the ownership history section, describe the ownership history of the facility, starting with your ownership and going back to the original owner when the tank was first installed. Include dates of ownership and details of any different operators.
- Review your insurance information, listing all insurance policies related to your facility's release. Attach copies of these policies, claim forms, or any documents that can demonstrate coverage for the relevant periods.
- Provide details about your insurance agent(s) or broker(s), including their names, addresses, and phone numbers. Describe the type of records they maintain for your policy.
- List former owners or operators of the facility that you have contacted, indicating any records of insurance they may have and the outcome of your review.
- Identify other responsible persons or companies that may be liable for the corrective action costs associated with the release, explaining your reasoning.
- Report any funds received from insurance companies or third parties regarding the release, including the amount, source, and purpose.
- Complete the certification section by signing the form. Ensure to include the date and your name or title. Have the signature notarized as required.
- Save your changes, and then download, print, or share the completed form as needed.
Begin filling out the MT PTRCB Form 7 online to ensure your reimbursement process starts smoothly.
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