State Revolving Fund Loan Program Forms
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Forms necessary for both Wastewater & Drinking Water Loans:
- Bidding Review Certification and Checklist for Construction Contracts
- All Bills Paid and Release from Liabilities Certification
- Debarment, Suspension Form (USEPA Form 5700-49)
- Disbursement Request
- Engineering or Professional Services Certification
- Environmental Checklist (PWSLP/WPCLP)
- Five Officer Certification Form
- Line Item Submittal Excel Spreadsheet (Submit by email to your project manager)
- Signage Requirement Certificate of Completion Form
- Tax Certificate
- Tax Certificate Instructions
- Apprenticeship Initiative Forms
- Budget Supplement
- Quarterly Periodic Report
- Waiver Request
- Certification of Compliance (Project Completion)
- Budget Supplement
DRINKING WATER LOAN PROGRAM FORMS:
(Specific forms for Drinking Water Loans)
- Federal Reporting Requirements
- Funding Nomination Form for Public Water Supply Loan Program
- Loan Application Form Packet
- Loan Application Instructions
- 5 Year Financial Projections for IEPA SRF Loan Application
- O & M Certificate
- Plans-Specs Checklist / Front-end Documents (Word version available upon request)
- Project Plan Submittal Checklist
- Signature Authorization
- Useful Life Calculation Worksheet for Loan Terms Greater than 20 Years
- Lead Service Line Replacement Final Certification
WASTEWATER LOAN PROGRAM FORMS:
(Specific forms for Wastewater Loans)
- Federal Reporting Requirements
- Fiscal Sustainability Certification
- Funding Nomination Form for Water Pollution Control Loan Program - UPDATED 08/2024
- Loan Application Form Packet
Loan Application Instructions
- 5 Year Financial Projections for IEPA SRF Loan Application
- O & M Certificate
- Plans-Specs Checklist and Front-end Documents (Word version available upon request)
- Project Plan Submittal Checklist (Stormwater)
- Project Plan Submittal Checklist (Wastewater)
- Signature Authorization
- Useful Life Calculation Worksheet for Loan Terms Greater than 20 Years