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Begin with Section I: Applicant Information. Fill in your ownership status by checking the appropriate box, then select how you are applying for liability protection. Provide your name, mailing address, and contact details.
Move to Section II: Property Information. Enter the physical address of the property, county, agency interest number if applicable, and the date purchased or prospective closing date.
In Section III: Certification Statement of Applicant, read through the certification statements carefully. Ensure you understand each point before typing your name and signing where indicated.
Finally, proceed to Section IV: Attached Documents. Gather and attach all required documents in the specified order before submitting your form.
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Kentucky Department for Environmental Protection (DEP)
Kentuckys residents and businesses must work together to preserve the resource quality and diversity that make Kentucky a great place to live, work and play.Read more
Apr 17, 2026 Quarterly publication focused on the Kentucky Energy and Environment Cabinets work to preserve and protect the states land, air and waterRead more
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