Application Forms and Additional Resources

Spring 2023 Funding Round Forms for Drinking Water, Wastewater and Stormwater Projects

Lead Service Line Replacement Project Solicitation Forms will continue to be accepted beyond May 1, on an ongoing basis.

Project Solicitation Form for Lead Service Line Replacement projects

Lead Service Line Funding Information Page

Please note: Applications / forms must be submitted online as instructed in the Application for Funding and in the Project Solicitation Form for Lead Service Line Replacement Funding.

IMPORTANT: The forms below were used in the Spring 2023 funding round and were meant to be used with that  funding round. They are included here for reference only. Forms to be used for the next funding round (Fall 2023) will be posted here by early August 2023. The Spring 2023 application period closed on May 1, 2023 at 5:00 p.m.

• Complete forms as required for the relevant funding program. Start with the Spring 2023 application for funding.
• For each program, review and complete the Priority Rating System form for that program only, following the appropriate guidance.
• The CDBG-I Program will have additional forms that must be completed as noted.
• Additional resources to use while completing applications are found in the last tab, below.
• Contact us if you need assistance preparing your application.

Spring 2023 Application for Funding To apply for water, wastewater and stormwater funding, start with this form. (or complete the Project Solicitation Form for Lead Service Line Replacement projects below.)

Spring 2023 Resolutions by Governing Bodies for Funding (Required in all applications)

Spring 2023 Affordability Calculator and Water Wastewater and LSLR PF and Grant Eligibility

Spring 2023 LGU Indicator Calculator for Stormwater Funding Eligibility (2/27/23)

Spring 2023 Water & Sewer Financial Information Form

Spring 2023 Fund Transfer Certification Form (for water and wastewater applications only, excluding CDBG-I applications and stormwater applications)

Spring 2023 Stormwater Funding Eligibility Certification Form (For LASII funding only)

Spring 2023 Priority Rating System Form and Guidance are in the “Priority Rating Systems, Guidance Documents” tab above this ‘forms’ section.

Additional forms required in CDBG-I applications are in the “CDBG-I Additional Forms” tab above this ‘forms’ section.

Project Solicitation Form for Lead Service Line Replacement projects

Lead Service Line Funding Information Page

Priority Rating Systems (PRS) Forms and Guidance Documents

Spring 2023 Drinking Water and Wastewater PRS & Guidance  For Construction & Pre-Construction Projects (NOT for Lead Service Line Replacement project solicitation)

Spring 2023 CDBG-I Priority Rating System

Spring 2023 LSLR Project Solicitation DRAFT PRS & Guidance (For Lead Service Line Replacement projects)

(Revised) Spring 2023 Stormwater Planning PRS & Guidance Revised 3/6/23

Spring 2023 Supplemental Guidance for Additional Consideration

Additional Guidance for CDBG-I (Community Development Block Grant-Infrastructure)

Please note: The information below was used for the recent Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

Spring 2023 CDBG-I PRS Interactive ScoreCard

Appendix A Determining LMI Percentages Updated May 2022

Appendix B Public Hearings Updated 5/3/21

Appendix C HUD Forms Instructions Updated May 2022 

HUD CPD 17-12 Floodway Notice Updated 5/17/21

ADDITIONAL FORMS FOR CDBG-I APPLICATIONS

The following forms are valid for Fall 2022 applications. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

TAB 1

Resolution by Governing Body of Applicant Updated 8/10/2022 

TAB 2

Commitment of Other Funds Updated 3/20/17 

TAB 3 (Low-to-moderate Income Documentation)

Income Survey Questionnaire  Updated 5/3/21

Income Survey Questionnaire (Spanish) Updated 5/10/19

Income Survey Questionnaire Instructions Updated 3/20/17

Income Survey Questionnaire Instructions (Spanish) Updated 3/20/17

Income Survey Sample (1) Updated 3/20/17

Income Survey Sample (2) Updated 3/20/17

Income Survey Summary Updated 5/3/21

2021 Income Limits Updated 5/17/21

2022 Income Limits Updated 6/15/22

TAB 6

CIP Guidance

Asset Management Plan Guidance Updated 2/22/17

Water & Sewer Rate Form Updated 3/20/17 (Only required for CDBG-I applicants)

TAB 8 (Federal Compliance Documents)

Public Hearing Notices under COVID-19 Added 9/14/20

Public Notice for Hearing Updated 8/12/21

Public Notice for Hearing - Spanish Updated 5/10/19

Public Hearing Script Updated 8/12/21

Public Hearing Minutes Template Updated 8/12/21

Certification of Understanding Roles and Responsibilities Updated 3/20/17

Certification Regarding Debarment, Suspension, and Other Responsibility Matters

Conflict of Interest Disclosure Updated 3/20/17

Federal Performance and Procurement Requirements Certification Updated 3/20/17

Disclosure Report Updated 3/20/17

Economic Need- Infrastructure National Objective Form and Instructions Updated July 20, 2022

IDIS Forms and Instructions Updated July 20, 2022

RESOURCES

Spring 2023 Application Training PowerPoint Presentation

The Spring 2023 versions of the Affordability Calculator and the LGU Indicator Calculator for Stormwater Funding Eligibility can be found under the Common Forms tab.

LGU Indicators - Census Places* (Updated in July 2022, using 2020 Census data.)

LGU Indicators - Counties* (Updated in July 2022, using 2020 Census data.)

 *Datasets include poverty rates and median household income

Water and Wastewater Utility Asset Assessment Guidance (2022)

Engineering Services Procurement for ARPA-Funded Projects

Supplemental Guidance for Bulk Connections

Documenting Low Pressure

Guidelines for Sampling Individually-Owned Wells