190 f 04 001 2026

1. Click ‘Get Form’ to open the 190 f 04 001 in the editor.
2. Begin by entering the Recipient Name and Contact Person details. Ensure accuracy as this information is crucial for processing your request.
3. Fill in the Fax #, Phone #, and Email address for communication purposes. This will help facilitate any follow-up regarding your payment request.
4. Input the Request # and EFT # if applicable. These identifiers are essential for tracking your payment.
5. Specify the Assistance Agreement and enter the Cash on Hand amount along with the Account No/Activity Code related to your Superfund Site.
6. Indicate the $ Amount you are requesting and mark (X) if it is a Credit request.
7. Review the TOTAL AMOUNT REQUESTED section to ensure all figures are correct before certification.
8. Finally, sign in the Recipient Approving Official’s Signature field and date it. Ensure that you also obtain EPA Certifying Officer Approval where necessary.

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