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FORMS AND PUBLICATIONS

Clean Water Fund Program and Safe Drinking Water Loan Program

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Find forms and publications for the Environmental Improvement Fund (EIF)'s Clean Water Fund Program (CWFP) and Safe Drinking Water Loan Program (SDWLP):

Forms

Forms for both programs

  • Submit online Intent to Apply (ITA) with Priority Evaluation and Ranking Formula (PERF) information
  • Submit online Financial Assistance Application
  • 8700-020 [PDF] American Iron & Steel (AIS), and Build America, Buy America (BABA) Certification (07/23)
  • 8700-033 [PDF] Land Ownership and Easement Rights Certification (R 12/24)
  • 8700-201 [PDF] Federal Equivalency Projects Assurances and Certification (R 02/23)
  • 8700-215 [PDF] Request for Disbursement (R 12/22)
  • 8700-245 [PDF] Force Account Certification (R 10/16)
  • 8700-257 [PDF] Contract Utilization of Disadvantaged Business Enterprises (DBEs) (R 01/24)
  • 8700-280 [PDF] Project Acceptance Certification (R 01/11)
  • 8700-294 [PDF] DBE Good Faith Certification (R 02/24)
  • 8700-294_a [PDF] DBE Contacts Worksheet (R 03/17)
  • 8700-357 [PDF] Green Project Reserve (GPR) (R 02/15)
  • 8700-377 [PDF] Online Submittal Authorization Certificate (R 01/22) Note: Starting in State Fiscal Year 2021, the designated consultant's authorization will stay in effect until the municipality revokes it.

CWFP forms

CWFP Pilot Projects forms

SDWLP forms

SDWLP Emerging Contaminants (EC) forms

  • 8700-399 [PDF] SDWLP EC Priority Evaluation and Ranking Form (PERF) (R 05/23)
  • 8700-034 [PDF] BIL EC-SDC Grant Program for Municipal Systems Reimbursement Request (R 11/24)
  • 8700-039 [PDF] BIL EC-SDC Grant Program for Municipal Systems Semiannual Progress Report (11/24)
  • 8700-040 [PDF] BIL EC-SDC Grant Program for Municipal Systems Project Completion Certification (11/24)

SDWLP Lead Service Line (LSL) forms

  • Submit online Financial Assistance Application Note: LSL applications are now being submitted through the regular SDWLP process.
  • 8700-366 [PDF] Request for Disbursement for LSL Financial Assistance Program (R 10/24)
  • (revised form coming soon) LSL Replacement Program Priority Evaluation and Ranking Formula (PERF)

Publications

Bipartisan Infrastructure Law (BIL) Funding

Clean Water Fund Program (CWFP)

Davis-Bacon wage rates

Disadvantaged Business Enterprise (DBE)

Document upload

Environmental Loans (EL)

Lead Service Line (LSL) Program

  • PUB-CF-054 [PDF] Considerations for Setting Up a Private Side LSL Replacement Financial Assistance Program (AKA municipally operated customer-side LSL replacement financial assistance program)
  • PUB-CF-055 [PDF] Suggestions for the Request for Qualifications (RFQ) (for municipalities interested in developing a prequalified list [PQL] of licensed plumbers/utility contractors for private side LSL replacements)
  • PUB-CF-060 [PDF] SDWLP Environmental Review Guide Note: LSL applications are now being submitted through the regular SDWLP process. The Environmental Review (ER) module in the online application system must be completed as part of the SDWLP application submittal.
  • PUB-CF-073 [PDF] Questions and Answers for Homeowners: Private LSL Replacements with the Safe Drinking Water LSL Replacement Program
  • PUB-CF-075 [PDF] Disadvantaged Business Enterprise (DBE) Solicitation for Private Side LSL Replacements

Pilot Projects Program

Safe Drinking Water Loan Program (SDWLP)

You may also wish to visit the department's publication directory.

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