Dam Safety
- Dam Order Application Form (pdf)
- Dam Order Application Form (MS-Word)
On-Site Loan Program
- Pre-Qualification Application - Use this version if you want to print the application and complete as a paper copy.
- Pre-Qualification Application - Use this version if you want to complete the application electronically, then print and sign.
- Reimbursement Request Form - Use this version if you want to print the application and complete as a paper copy.
- Reimbursement Request Form - Use this version if you want to complete the application electronically, then print and sign.
Engineering Planning Advance Program
Clean Water State Revolving Fund (CWSRF) Loans and Pollution Control Grants &
Drinking Water State Revolving Fund (DWSRF) Loans
DWSRF Service Line Inventory Forms
- Municipal water system funding application
- Private water system funding application
- Service line inventory force account policy and process
- Service line inventory force account agreement template
Other SRF Loan and Pollution Control Grant Application and Reimbursement Forms and Templates. Also see sections further down the page
- Priority List Applications (updated annually)
- Submit draft Engineering Services Agreement (ESA) via ANR Online.
- Funding Application - This is a PDF form to save to your computer desktop (may need to right-click and "save link as..."), complete, and submit to ANR Online along with other documents. Some forms and templates are linked below and others on the ANR Online in the lower right hand corner.
- Change in Authorized Representative or Add an Additional Authorized Representative form
- DEC/RD Certification Form (DEC Cert Form budget table, part of Engineering Services Agreement)
- Project Cost Summary (spreadsheet)
- CWSRF FQ Certification Form
- CWSRF template Municipal Letter of Support for Private Project
- CWSRF Cost and Effectiveness Certification Form
- CWSRF Fiscal Sustainability Plan Certification Form
- DWSRF Expected Useful Life Worksheet
- DWSRF Expected Useful Life Certification
- Reimbursement Request Form and Instructions
Planning
- Preliminary Engineering Report Format pdf
- Preliminary Engineering Report Format MSWord
- PER Acceptance SOP
Environmental Review
- Environmental Information Document - Environmental Report Form DWSRF & CWSRF
- Public Meeting Certification Form
Construction
- Request for Reduction in Retainage Form
- Partial Payment Estimate Form
- Attorney Title Easement Certification Form
- Change Order Form
Disadvantage Business Enterprise
- DBE Reporting Form 5700-52A
- DBE Subcontractor Participation Form 6100-2
- DBE Subcontractor Performance Form 6100-3
- DBE Subcontractor Utilization Form 6100-4
Davis-Bacon
- SF-1444 Request for Authorization of Additional Classification and Rate
- WH-347 Weekly Payroll Report and Certification
- SF-1445 Wage Interview
- EEO Labor Poster (September 2015)
- WH 1321 Davis-Bacon Wage Poster
American Iron and Steel
- EPA March 20, 2014 Memo Guidance Document
- Audit Checklist (Coming Soon)
Build America Buy America (BABA / BABAA)
- Build America Buy America Act Adjustment Period Waiver Certification Form