003.01 The identity of the responsible person and the applicant;

003.02 A description of the applicant as a responsible person or designated representative;

003.03 The location of the release;

003.04 The tank facility registration number assigned by the Nebraska State Fire Marshal, if applicable, of the tank from which petroleum was released;

003.05 Information regarding insurance payments or settlements related to the release that have been or may be received;

003.06 A detailed description of all costs and documentation for all costs incurred and/or paid by the responsible person for the remedial action and/or third-party claim;

003.07 An acknowledgment that the responsible person will be responsible for reimbursing the fund for any partial reimbursement if the responsible person does not complete the remedial action as required by the rules and regulations of the department;

003.08 A designated representative statement, if applicable, signed by the responsible person and properly notarized;

003.09 A verification, signed by the applicant and properly notarized, attesting that the information contained in the application is true and accurate; and

003.10 An acknowledgement that the recipient’s accounting records related to the cost submitted may be audited by the Department, as set forth in Chapter 3, 006, and that, if such records are not provided, the recipient may be required to reimburse the fund for any payments previously received.

004.01 The responsible person shall submit a completed application for reimbursement to the department. An application is incomplete if it does not contain all the information required by the department.
004.02 At the time the department determines that the applications are complete, the applications will be date and time stamped, and a record of order will be maintained.

004.03 If the department approves reimbursements in excess of the amount in the fund, the department shall make reimbursements in the order in which the complete applications were stamped according to 004.02 of this chapter.

005.01 A responsible person applying for partial reimbursement shall acknowledge with such application that if the responsible person receives partial reimbursement but does not complete the remedial action as required by the rules and regulations of the department, the responsible person shall reimburse the fund for an amount equal to the reimbursement received from the fund.

005.02 Applications for partial reimbursement may be made following completion and department acceptance of approved stages of remedial action and associated cost estimates.

005.03 If any approved stage of remedial action is projected to take more than ninety days to complete, partial payments may be requested every sixty days. When reimbursement is requested prior to completion of an approved stage, the department may withhold 10% of such payment until the approved stage is completed.

007.01 Complete applications shall be submitted to the department on or before June 11, 1998, where costs were incurred:
007.02 Complete applications shall be submitted to the department within one year of the compliance date established by the department when the remedial stage is approved or within one year of the actual completion date of the remedial stage, whichever is later. Such costs must be incurred:
007.03 Applications submitted to the department subsequent to the time limits established in 007.01 and 007.02 of this chapter will be subject to reimbursement reduction or denial according to chapter 3, 005. However, applicants who submit an incomplete application within the time limits set forth in 007.01 and 007.02 of this chapter will have an additional thirty (30) days, after receipt of written notification from the department specifying deficiencies, to submit supplemental information correcting all deficiencies and shall not be subject to reimbursement reductions under this section.