Application Forms and Additional Resources
Fall 2023 Funding Applications are Due October 2
Fall 2023 applications for drinking water, wastewater, stormwater, and emerging contaminants (PFAS) funding are due by 5:00 p.m. on October 2, 2023.
Submit your completed Fall 2023 applications here.
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.
Completed applications are submitted online.
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:
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
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
LGU Indicators- Census Places and Counties (2021) Updated 8-21-23*
*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
Guidelines for Sampling Individually-Owned Wells