Application Forms and Additional Resources

Please note:

  • The instructions and forms below were used for the Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.)

  • The next funding round is scheduled for Spring 2023. Application deadline: May 1, 2023

  • Please check back here in early 2023 for updated forms, instructions and training information for the Spring 2023 funding round.

 

The tabs below include all of the Fall 2022 application forms for each program.

The tabs and these instructions will be updated for the Spring 2023 funding round.

  • Complete all forms in the Common Forms tab for every program.
  • For each program, review and complete the Priority Rating System form 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, below.
  • Contact us if you need assistance preparing your application.
  • A recording of the Fall 2022 application training and the related PowerPoint are available here.

 

 

Tab/Accordion Item

Common Forms for Applications

Please note: The forms below were used for the recent Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.)

The next funding round is scheduled for Spring 2023. Please check back here in early 2023 for updated forms, instructions and training information for the Spring 2023 funding round.

The deadline for submitting Spring 2023 funding applications is May 1. 2023.

Fall 2022 Application for Funding (To apply for water, wastewater and stormwater funding, start with this form.)

Fall 2022 Resolutions by Governing Bodies for Funding (Required in all applications)

Fall 2022 Water and Wastewater Grant Eligibility and Affordability Calculator (8/9/22)

Fall 2022 LGU Indicator Calculator for Stormwater Funding Eligibility (8/9/22)

Fall 2022 Water & Sewer Financial Information Form

Fall 2022 Fund Transfer Certification Form (for water and wastewater applications only, excluding CDBG-I applications and stormwater applications )

Fall 2022 Stormwater Funding Eligibility Certification Form (For LASII funding only)

Fall 2022 Priority Rating System Form 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

Please note: The information below was used for the recent Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

Fall 2022 Stormwater Construction and Planning PRS and Guidance (For LASII)

Fall 2022 Drinking Water and Wastewater PRS and Guidance (For construction and pre-construction planning projects) Please note updated (Aug. 24, 2022) guidance item on page 13. The update refers only to water meter replacement for distressed systems.

Fall 2022 CDBG-I PRS and Guidance

Fall 2022 Asset Inventory & Assessment PRS and Guidance

Fall 2022 Merger Regionalization Feasibility PRS and Guidance

Fall 2022 Supplemental Guidance for Additional Consideration (Section 7 of application form)

 

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

Please note: The information below was used for the recent Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

Fall 2022 CDBG-I Priority Rating System Interactive Scorecard 

Appendix A Determining LMI Percentages Updated May 2022

Appendix B Public Hearings Updated 5/3/21

Appendix C HUD Forms Instructions Updated May 2022 

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

 

ADDITIONAL FORMS FOR CDBG-I APPLICATIONS

The following forms are valid for Fall 2022 applications. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

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

2021 Income Limits Updated 5/17/21

2022 Income Limits Updated 6/15/22

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

 

RESOURCES

Please note: The information below was used for the recent Fall 2022 funding round. (The application deadline for the Fall 2022 round was Sept. 30, 2022.) The next funding round is scheduled for Spring 2023. Please check back here in early 2023, as there may be updated information or documents for Spring 2023.

 

Recording and PowerPoint Presentation from Fall 2022 Application Training Sessions, August 2022:

The Fall 2022 versions of the Affordability Calculator and the LGU Indicator Calculator for Stormwater Funding Eligibility can be found under the Common Forms tab.

LGU Indicators - Census Places* (Updated in July 2022, using 2020 Census data.)

LGU Indicators - Counties* (Updated in July 2022, using 2020 Census data.)

 *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

Documenting Low Pressure

Guidelines for Sampling Individually-Owned Wells