Application Forms and Additional Resources

Application Training

Fall 2021 Funding Application Training was conducted July 27-Aug. 5 at six locations statewide:  Hendersonville, Valdese, Winston-Salem, Research Triangle Park, Winterville, Pembroke.

Important Application Information:

  • The deadline for Fall 2021 funding applications is September 30, 2021. 

  • The tabs below include all of the application forms for each program. 

  • Complete all forms in the Common Forms tab for every program.

  • For each program, complete the Priority Points Rating Sheet 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.

  • Contact us if you need assistance preparing your application.

Common Forms Priority Points Rating Sheet and Guidance

Priority Points Rating Sheet and Guidance

CWSRF, DWSRF, State Project Grants (WW), State Project Grants (DW)

Combined Priority Rating System Guidance and Form for Construction Projects  Updated 8/30/21

AIA (Asset Inventory and Assessment Grant )

Asset Inventory and Assessment Grant Priority Rating System Guidance and Form Updated 7/26/21

MRF (Merger/Regionalization Feasibility Grant)

Merger Regionalization Feasibility Study Grant Priority Rating System Guidance and Form Updated 7/26/21

VUR (Viable Utility Reserve )

Supplemental Viable Utility Reserve Form Updated 7/26/21

CDBG-I (Community Development Block Grant-Infrastructure)

CDBG-I Priority Rating System Guidance and Form Updated 7/26/21

CDBG-I Priority Rating System Interactive Scorecard Updated 5/3/21

Appendix A Determining LMI Percentages Updated 5/3/21

Appendix B Public Hearings Updated 5/3/21

Appendix C IDIS Form Instructions Updated 5/3/21

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

CDBG-I 2021 Program Round - Preapproval Form for Line Work Updated 5/17/21

May 2021 How to Apply Training Presentation Updated 5/17/21

CDBG-I Additional Forms

CDBG-I Additional Forms

TAB 1

Resolution Updated 3/20/17 

TAB 2

Commitment of Other Funds Updated 3/20/17 

TAB 3

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

2020 Income Limits Updated 6/18/20

2021 Income Limits Updated 5/17/21

TAB 6

CIP Guidance

Asset Management Plan Guidance Updated 2/22/17

Water & Sewer Rate Form Updated 3/20/17

TAB 8

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

Infrastructure National Objective Form 

IDIS Form

Additional Resources
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