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The following forms are provided for Certified Used Oil Collection Center
operators and Registered Generators.
| Application Forms |
Certification Application (Updated
July 2007) |
CIWMB 29 |
Adobe
PDF, 35 KB |
MS Word, 165 KB |
Registration Application
(Updated July 2007) |
CIWMB 30 |
Adobe
PDF, 28 KB |
MS
Word, 131 KB |
| Recycling Incentive Payment Claim Forms |
Used Oil Recycling Incentive
Payment
Claim/Report |
CIWMB 31 |
Adobe
PDF, 22 KB |
MS
Word, 64 KB |
Attachment for Multiple
Claimants Sharing Common Manifests |
CIWMB 31A |
Adobe
PDF, 9 KB |
MS Word, 44 KB |
Attachment for Operators of
Multiple Used Oil Collection Centers |
CIWMB 31B |
Adobe
PDF, 10 KB |
MS Word, 43 KB |
| Payee Data Record |
Std. 204 |
Adobe
PDF, 175 KB |
|
Contaminated Used Oil
Reimbursement
Application |
CIWMB 325 |
Adobe
PDF, 16 KB |
MS Word, 41 KB |
| Lubricating Oil Purchase Receipt |
CIWMB 326 |
Adobe
PDF, 6 KB |
MS Word, 26 KB |
| Oil Recycling Fee Return and Refund Forms |
| California Oil Recycling Fee Return |
CIWMB 30A |
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| If you need this form, please contact
Jane Pruitt. |
| Oil Exemption Certificate |
CIWMB 36 |
Adobe
PDF, 10 KB |
MS Word, 21 KB |
| For questions regarding
this form, please call
Tamra Hardeman. |
| Other Forms |
| Used Oil Log Form |
CIWMB 201 |
Adobe PDF, 117 KB |
MS Word, 324 KB |
Customer Service Satisfaction Form
 |
CIWMB 244 |
|
MS Word, 117 KB |
Certified Center Home | Used
Oil/HHW Forms Home
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