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Virginia regulations · Through 2026 Regular Session (effective July 1, 2026)

9VAC20-170-400:9: APPENDIX IX.

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Where this section sits in the code
  1. Title 9. Environment
  2. Agency 20. Virginia Waste Management Board
  3. Chapter 170. Transportation of Solid and Medical Wastes on State Waters
  4. Part VI. Financial Responsibility Requirements for Vessels Transporting Solid Wastes or Regulated Medical Wastes
  5. Article 2. Facility Closure

APPENDIX IX.

(NOTE: Instructions in brackets are to be replaced with the relevant information and the brackets deleted.)

CERTIFICATION OF VALID CLAIM

The undersigned, as principals and as legal representatives of [insert vessel owner or operator] and [insert name and address of third party claimant] hereby certify that the claim of bodily injury [and/or] property damage caused by a sudden and/or nonsudden accidental occurrence arising from a waste deposit from [owner or operator] vessel into state waters should be paid in the amount of $[ ].

[Signatures]

Vessel Owner or Operator

Attorney for Owner or Operator

[Notary] [Date]

[Signature(s)]

Claimant(s)

Attorney(s) for Claimant(s)

[Notary] [Date]

Collected 2026-09-14T04:49:03Z. Source file · JSON

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