Applications and Forms

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.

Planning Advance Program

• Planning Advance Application Form

Clean Water State Revolving Fund and Pollution Control Grants & Drinking Water State Revolving Fund

Loan and Financial Related Forms

• Clean Water Priority List Application- FFY20/SFY21 (you must right click, 'save link as', and save remotely before completing)

• DEC/RD Certification Form 
• Drinking Water Priority List Application- FY19 
• FUNDING APPLICATION - Funding Application for use in all Water Infrastructure Financing Programs grants and loans. YOU MUST RIGHT CLICK, 'SAVE LINK AS', and save remotely before completing. For all municipal applicants (including Water Districts and Fire Districts), the Supplemental Financial Information (required for Step 2 and 3 applications) must accompany the funding application to be considered complete.
• Disbursement Request Form and Istructions
• Change in Authorized Representative or Add an Additional Authorized Representative form
• RFQ Certification Form
• Engineering Services Agreement Step 1 & 2
• Cost and Effectiveness Certification Form
• Fiscal Sustainability Plan Certification Form
• Engineering Services Agreement Step 3

Planning

• Preliminary Engineering Report Format pdf
• Prelmininary Engineering Report Format MSWord

Environmental Review

• DWSRF/USDA RD Environmental Information Document/Environmental Report Form
• Draft CWSRF Only Environmental Information Document/Environmental Report Form (pending please ask your design engineer to send a copy)

Construction

• Request for Reduction in Retainage Form
• Partial Payment Estimate Form
• Attorney Title Easement Certficiation 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)