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 will need Adobe Reader to view some of the files on this page. See EPA’s About PDF page to learn more.- Indipay Form (PDF)(6 pp, 419 K)
- Spanish Indipay Form (PDF)(6 pp, 527 K)