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Skip Navigation LinksHome SMGB Forms

Forms

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ANNUAL REPORTING

Annual Report Instructions
Fee Schedule
Annual Report Form
Low Gross Exemption Fee Request Form
Multiple Site Single Fee Request Form

FINANCIAL ASSURANCE COST ESTIMATE

Financial Assurance Cost Estimate Form Instructions
Financial Assurance Cost Estimate Form (PDF)
Financial Assurance Cost Estimate Form (Excel)

FINANCIAL ASSURANCE MECHANISM

Irrevocable Letter of Credit Form
Certificate of Deposit Form

SURETY BOND FORMS

Sole Proprietor
Partnership
Corporation
General Purpose Rider
Increase/Decrease Rider

INSPECTIONS

Notice of Completion of Inspection Form
Surface Mining Inspection Report Form ​

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