California Recycle Used Oil Re-Refined Incentive Payment Claim

Form Template

The California Recycle Used Oil Re-Refined Incentive Payment Claim mobile app is an alternative to paper claim form forms and was developed with

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recycling professionals in mind. The app allows smartphone or tablet users to complete and record information paperlessly. GoCanvas apps do not require Wi-Fi or use cellular data to fill out. Once the app is submitted, a PDF of the California Recycle Used Oil Re-Refined Incentive Payment Claim is produced. The PDF can be sent directly to waste management customers. This eliminates the need for extra data entry by using a paperless data system. This standard claim form can be customized for your business needs by deleting and adding items to the app with the GoCanvas App Builder. The app includes fields for claimant information, used oil information, out of state facilities, claim number and captures supervisor's approval signature. To be eligible to receive a recycling incentive payment for re-refined oil, you must report to the department of resources recycling and recovery (calrecycle) quarterly. Use this app to report how much of the oil received is from California, and what volume of re-refined oil was produced from California oil. The deadline for submitting a quarterly report is on or before the 45th calendar day following that quarter. If any information is not included or is incorrect on the form, the department of resources recycling and recovery (CalRecycle) may adjust or reject your request for payment. Reporting period: check the box corresponding to the quarter and enter the year.

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