Application Forms and Additional Resources

Fall 2023 Funding Round Awards

Fall 2023 Funding Round Awards willl be announced in Feb. 2024

Applicants for drinking water, wastewater, stormwater, and emerging contaminants (PFAS) funding should review the application forms and guidance documents. Additional support materials, including recordings of application training sessions are available.

Application training

Completed applications are submitted online.

Please note (For AIA/MRF grants only): When applying for an asset inventory and assessment (AIA) or merger/regionalization feasibility (MRF) grant: two fields for upload (Priority Rating System Scorecard and Affordability calculator) are listed as required submissions. However, they are not required. For AIA and MRF applications, please submit an "N/A" PDF for these two fields to complete the upload. 

 

Tab/Accordion Items

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

Please note: Applications / forms are submitted online. 

Fall 2023 Application for Funding   (July 2023) To apply for water, wastewater and stormwater funding, start with this form (or complete the application form for Lead Service Line Replacement (LSLR) project funding (below). Please note (For AIA/MRF grants only): When applying for an asset inventory and assessment (AIA) or merger/regionalization feasibility (MRF) grant: two fields for upload (Priority Rating System Scorecard and Affordability calculator) are listed as required submissions. However, they are not required. For AIA and MRF applications, please submit an "N/A" PDF for these two fields to complete the upload. 

Fall 2023 Lead Service Line Replacement (LSLR) Project Application form and instructions

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

Fall 2023 Water Wastewater Grant Eligibility and Affordability Calculator

Fall 2023 LASII LGU Indicator Calculator for Stormwater Funding Eligibility

Fall 2023 Financial Information Form  (July 2023)

Fall 2023 Fund Transfer Certification Form (July 2023)

Fall 2023 LASII Stormwater Funding Eligibility Certification Form (For LASII Funding Only) (July 2023)

Fall 2023 Priority Rating System Forms 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.

 

 

 

 

 

 

 

 

 

 

 

Priority Rating Systems (PRS) Forms and Guidance Documents

Fall 2023 Construction Project Guidance July 2023 (For Construction & Pre-Construction Projects) (NOT for Lead Service Line Replacement (LSLR) projects) 

Fall 2023 CDBG-I Priority Rating System and Guidance  July 2023 

Fall 2023 LSLR Guidance and PRS  July 2023 (For Lead Service LIne Replacement (LSLR) Projects)

Fall 2023 LASII Stormwater Construction and Planning Priority Rating Systems and Guidance Revised 8-10-23

Fall 2023 MRF Priority Rating System Guidance  August 2023

Fall 2023 AIA Priority Rating System Guidance August 2023

 Supplemental Guidance for Additional Consideration

 

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

Fall 2023 CDBG-I Interactive Score Card

Appendix A Determining LMI Revised 7/2023

Appendix B Public Hearings Updated 5/3/21

Appendix C HUD Forms Instructions Updated 5/2022 

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

 

ADDITIONAL FORMS FOR CDBG-I APPLICATIONS

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

2023 Income Limits  Modified 8/3/23

HUD Area-Benefit LMI Census  Data

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