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OSMB Environmental Programs

Foam Encapsulation Certification Form
Keep Oregon's waters clean and enjoyable for all boaters.
An Encapsulation Certification is required for all new construction projects or additions to existing structures involving polystyrene foam floatation, and certain other maintenance, alteration and repair projects as specified in the rules. These rules apply to allpublic and private floating structures placed on the waters of this state.
 
To certify foam encapsulation, use:
 
We will review your certification and respond by mail, usually within 10 days. Encapsulation methods must be approved by OSMB before the foam is placed in the water. Certifications are valid for 20 years, once approved.  No fee is required.
Mr./ Ms./ Mrs.
Owner's First Name
Owner's Last Name
Company/Agency Name
Owner's Address
City
State
Zip Code
Phone # (Home)
Phone # (Work)
Fax#
e-mail
Installer's Name
Installer's Address
City
State
Zip Code
Installer's Phone #
 
Project Location
Description of foam location, including structure address, marina name and slip number if any 
County where installed
Waterbody
(Include Rivermile)		 
 
Proposed Project Information
Type of floating structure (floating home, boathouse, walkway, moorage slip, fuel float)
 
Dimensions of Floating Structure 
Activity type (new, addtion, or repair)
Date of Installation
 
Type of Floatation Used to Support this Structure
Expanded "white bead" foam, Extruded Dow Foam, wood logs, or other
 
Materials and Methods of Encapsulation
Product Name or description
Type and thickness of material used to encapsulate foam 
Amount of foam  installed
Click below to submit your foam use information and indicate your agreement with the following statement:
 
I certify that, to the best of my knowledge and belief, the proposed project and activity described in this certification form complies with the Floatation Encapsulation Program Rules and will be completed and installed in a manner consistent with the program. 
 
Your Name (Required):