OIL TANK QUESTIONNAIRE
Avid Insurance Group Fuel tank form
Email address *
Client Name
Your answer
Physical Address of Home *
Your answer
Year of Tank
Your answer
Make of Tank
Your answer
Tank Serial Number *
Your answer
Tank Wall Thickness *
Style of Tank *
Tank Certified by the following? *
Is the tank professionally installed? *
Any signs of rust dents or corrosion on tank? *
Any noticeable fumes or fuel odours? *
Is the tank located on a non- combustible pad? *
Is the tank fastened & secured? *
Is the tank level, and properly sloped? *
Is the vent pipe higher than fill pipe by 6 inches? *
If Inside, is the tank filled & vented outside? *
If Inside, is the tank located at least 5 ft from a ignition source? *
Is there clear open space around the tank? *
Is the tank in a safe area away from vehicle impacts? *
Is there a loop in the fuel supply line? *
Is the fuel supply line protected from damage? *
Has there been any previous oil spills? *
Are there any underground tanks on property? *
Digital Signature of Insured *
Your answer
Please Date your Application *
MM
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DD
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YYYY
*
NOTE: Please email a current photo of the fuel tank to admin@avidnorth.ca ..........Note your name in the email please*********************
Your answer
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