Application Forms and Additional Resources

Application Training

The Division of Water Infrastructure conducted virtual funding application training sessions via WebEx for the Fall 2020 funding round.

The training sessions were held on July 29, July 31, Aug. 11, Aug. 12 and Aug. 14, 2020.

For those who were unable to attend the virtual sessions, a recording of one of the WebEx sessions and the related PowerPoint presentation are available at the links below.

(Please note: the recording below is a large file and may take some time to open.)  


Important Application Information:

  • 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 CDBG-I Additional Forms

CDBG-I Additional Forms


Resolution Updated 3/20/17 


Commitment of Other Funds Updated 3/20/17 


Income Survey Questionnaire  Updated 5/10/19

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 8/30/17

2019 Income Limits Updated 6/24/19

2020 Income Limits Updated 6/18/20


CIP Guidance

Asset Management Plan Guidance Updated 2/22/17

Water & Sewer Rate Form Updated 3/20/17

Financial Information Form Updated 8/28/19


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

Public Hearing Checklist 

Public Notice for Hearing Updated 5/10/19

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

Public Hearing Script Updated 6/1/20

Public Hearing Minutes Template Updated 6/1/20

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 


Additional Resources