Texas and New Mexico State Laws require Pollution Liability Insurance for businesses possessing underground petroleum tanks. To apply for your Pollution Liability Insurance, please follow the directions listed below.  
 
  1. Click on the image of the Pollution Liability Insurance Application Form.
  2. Print a copy of the Application Form.
  3. Fill out and sign the Application Form.
  4. Fax or mail your completed Application Form to the following fax number 817.339.3138.
NOTE: You must have Adobe Acrobat Reader to view this application form. To download the latest Adobe Acrobat Reader" click here".

 

 1600 West Seventh Street, Fort Worth, Texas 76102-2505
Telephone 817.336.1336 Toll Free 800.336.1338 Fax 817.339.3138