Forms and Guidance

Agency: Environmental Quality


The tables below list a number of SAW, DWRF and CWSRF/SWQIF forms/guidance that you can view and print. 

SAW Forms and Guidance  

Form/Guidance Name  

Microsoft Word  

PDF  

 Last Revision Date 

 SAW Grant Disbursement Form

 Word

 PDF

 12/2015

 SAW Loan Disbursement Form

 Word

PDF

12/2015 

 Stormwater Asset Management Plan Certification of Project Completeness

 Word  PDF

6/2014 

 Wastewater Asset Management Plan Certification of Project Completeness

 Word  PDF

6/2014 

 DWRF Forms and Guidance

 Forms/Guidance Name

Microsoft Word

 PDF

Last Revision Date 

American Iron and Steel Boilerplate Contract Language

Word 

PDF

 8/2014

Securing Financial Assistance Through the Drinking Water Revolving Fund (guidance booklet) 

N/A 

PDF  

10/2013

DWRF Brochure 

N/A 

PDF  

 

DWRF Project Plan Preparation Guidance w/Attachments 

Word  

PDF  

 2/2015

DWRF Project Plan Submittal Form (including the Disadvantaged Community Worksheet and the Resolution adopting the Project Plan) 

Word  

PDF  

 2/2015

DWRF Eligibility Guidance 

N/A 

PDF  

 8/2012

DWRF Small Community Planning Loan Guidance 

N/A 

PDF  

3/2011

DWRF Small Community Planning Loan Application 

Word  

PDF  

3/2011

Revolving Funds (SRF/SWQIF/DWRF) Design Phase Guidance 

N/A 

PDF  

 3/2015

DWRF Alternative Justifiable Expenditures (AJE) Guidance 

N/A 

PDF  

 7/2012

DWRF Alternative Justifiable Expenditures (AJE) Example 
(Example includes all formulas necessary for proper calculations)

Excel  

N/A 

 2/2011

DWRF Application Part I 

Word  

PDF  

 1/2015

DWRF Application Part II 

Word  

PDF  

 10/2015

Instructions for Part II 

N/A 

PDF  

 10/2010

EPA Preaward Compliance Review Report (EPA Form 4700-4) 

Word  

PDF  

 3/2008

DWRF Application Part III 

Word  

PDF  

 7/2013

Revolving Loans (SRF/SWQIF/DWRF) Construction Phase Guidance 

N/A 

PDF  

 11/2015

Disbursement Request Guidance 

N/A 

PDF  

 1/2015

DWRF Disbursement Request of Funds Form 

Word 
Excel 
 

PDF  

 10/2015

Davis-Bacon Compliance Certification Form 

 N/A

 PDF 

2/2013

Disadvantaged Community Guidance 

N/A 

PDF  

 2/2015

Disadvantaged Community Status Determination Worksheet

Word

PDF 

1/2015

THPO Guidance 

N/A 

PDF  

12/2015

Single Audit Act Guidance

N/A

 PDF 

3/2015

Asset Management Guidance for Water Systems

N/A

PDF

7/2013

Asset Management Plan Workbook for Water Utilities

Excel

 

10/2013

DBE Required Contract Language & Debarment Information
EPA Form 6100-2 (for DBEs)

N/A

PDF 
PDF

 3/2015
 10/2013

   

 

SRF/SWQIF Forms and Guidance  

 

Form/Guidance Name  

Microsoft Word  

PDF  

 Last Revision Date 

American Iron and Steel Boilerplate Contract Language

Word 

PDF

8/2014 

Securing Financial Assistance Through the Clean Water Revolving Fund (guidance booklet) 

N/A 

PDF  

 11/2013

SRF AJE Guidance 

N/A 

 PDF 

 7/2012

SRF/SWQIF Brochure 

N/A 

PDF  

2/2015

SRF/SWQIF Project Plan Preparation Guidance w/Attachments 

Word  

PDF  

 10/2015

SRF/SWQIF PPL Scoring Form (formerly Discharge Data Form)

Word  

PDF  

 7/2011

SRF/SWQIF Project Plan Submittal Form (including the Resolution adopting the Project Plan and the Disadvantaged Community Worksheet) 

Word  

PDF  

 10/2015

SRF Eligibility Guidance 

N/A 

PDF  

 5/2013

SRF/SWQIF/DWRF Design Phase Guidance 

N/A 

PDF  

 3/2015

SRF/SWQIF Application Part I 

Word  

PDF  

 10/2015

SRF/SWQIF Application Part II 

Word  

PDF  

 10/2015

Instructions for Part II Application 

N/A 

PDF  

 3/2011

EPA Preaward Compliance Review Report (EPA Form 4700-4) 

Word  

PDF  

3/2008

SRF/SWQIF Application Part III 

Word  

PDF  

 1/2015

Revolving Funds (SRF/SWQIF/DWRF) Construction Phase Guidance 

N/A 

PDF  

 11/2015

SWQIF Certification of Project Completion 

Word  

PDF  

7/2003

Disbursement Request Guidance 

N/A 

PDF  

 1/2015

SRF/SWQIF Disbursement Request of Funds Form 

Word 
Excel 
 

PDF  

 10/2015

Davis-Bacon Compliance Certification Form 

 N/A

PDF 

2/2013

SWQIF Documentation for Progress Payment 

Word  

PDF  

7/2003

THPO Guidance 

N/A 

PDF  

12/2015

Single Audit Act Guidance

N/A

PDF  

3/2015

S2 Disbursement Request Form

Word 
Excel 

PDF 

 3/2011

DBE Required Contract Language & Debarment Information
EPA Form 6100-2 (for DBEs)

 N/A
 N/A

  PDF 
  PDF

 3/2015
 10/2013

Asset Management Guidance for Wastewater and Stormwater Systems

N/A

 PDF

10/2013

Asset Management Plan Workbook for Wastewater Utilities

Excel

 

10/2013

 Fiscal Sustainability Plan Guidance and Frequently Asked Questions

N/A 

 PDF

2/2015 

 Fiscal Sustainability Plan Certification Form

 N/A

 PDF

2/2015 

 Qualifications-Based Selection Process Guidance and Frequently Asked Questions

N/A 

 PDF

2/2015 

 QBS Certification Form for Procurement of Architectural and Engineering Services

N/A 

 PDF

 2/2015

 Project Delivery Methods Guidance

 N/A

 PDF

11/2015 

 EPA Signage Guidance for SRF and DWRF Projects N/A  PDF

7/2015 

Project Useful Life and Cost Analysis Certification Form N/A PDF 10/2015

 To view and/or print a document in Portable Document Format (PDF),  Acrobat Reader is required (a free download). 

Helpful Tips: 

  • Since the documents are constantly being updated it is recommended you do not download and save copies, but rather access this site when you need to use one of the listed documents.  
  • If you do not have Microsoft Word, use the PDF version of the document. 
  • Review the quality of printing of your document and do not submit a document where printing is incomplete, not formatted properly, or otherwise looks odd. 
  • At this time, documents which require a signature can not be returned via e-mail. 

If you decide to "Open the file from its current location," do not be alarmed if a "Warning" dialog box pops up indicating, "The document you are opening contains macros or customizations." All of the forms contain macros and/or customizations from a trusted source. Therefore, please select to enable the macros to proceed with opening the document. You can then fill in the form and print or save it directly from the Revolving Loan Section web site.