The INDIPAY financial data request form requires the individual to provide financial information to support its claim of inability to pay the civil penalty. Both an English and Spanish version are provided.
You may need a PDF reader to view some of the files on this page. See EPA’s About PDF page to learn more.- INDIPAY English Request Form (PDF)(6 pp, 495 K)
- INDIPAY Spanish Request Form (PDF)(6 pp, 647 K)