Water
and Environmental Programs 
FORMS USED
IN PROCESSING APPLICATIONS
RELATED TO WATER AND WASTE PROGRAMS
AD - Agriculture Department Forms
RD - Rural Development Forms
SF - Standard Forms
Other
Forms Links: [OMB Grant Forms] [Rural
Development Forms]
[USDA
Service Center eForms] *
[Housing
and Urban Development Forms]
*There are many "fillable" forms on the USDA eForms site.
[
Bulletins
][Procedure Notices] [Forms] [Current
Interest Rate]
[Proposed Regulations]
|
FORM NUMBER |
DOCUMENT NAME |
| AD-1047 (PDF) | Certification Regarding Debarment, Suspension and other Responsibility Matters |
| AD-1048 (PDF) | Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion |
| A D-1049 (PDF) | Certification Regarding Drug Free Workplace Requirements |
|
FORM NUMBER |
DOCUMENT NAME |
| RD 400-1 (PDF) | Equal Opportunity Agreement |
| RD 400-4 (PDF) | Assurance Agreement |
| RD 400-6 (PDF) | Compliance Statement |
| RD 400-8 (PDF) | Compliance Review |
| RD 402-1 (PDF) | Deposit Agreement |
| RD 402-2 (PDF) | Statement of Deposit and Withdrawals |
| RD 440-11 (PDF) | Estimate of Funds Needed |
| RD 440-22 (PDF) | Promissory Note |
| RD 442-2 (PDF) | Statement of Budget, Income and Equity |
| RD 442-3 (PDF) | Balance Sheet |
| RD 442-7 (PDF) | Operating Budget |
| RD 442-20 (PDF) | Right-of-Way-Easement |
| RD 442-21 (PDF) | Right-of-Way Certificate |
| RD 442-22 (PDF) | Opinion of Counsel Relative to Rights-of-Way |
| RD 442-30 (PDF) | Water Purchase Contract |
| RD 1910-11 (PDF | Application Certification |
| RD 1924-7 (PDF) | Contract Change Order |
| RD 1924-9 (PDF) | Certificate of Contractor's Release |
| RD 1924-10 (PDF) | Release by Claimants |
| RD 1924-12 (PDF) | Inspection Report |
| RD 1924-16 (PDF) | Record of Pre-Construction Conference |
| RD 1924-18 (PDF) | Partial Payment Estimate |
| RD 1927-9 (PDF) | Preliminary Title Opinion |
| RD 1927-10 (PDF) | Final Title Opinion |
| RD 1942-8 (PDF) | Resolution of Members or Stockholders |
| RD 1942-19 (PDF) | Agreement for Engineering Services |
| RD 1942-46 (PDF) | Letter of Intent to Meet Conditions |
|
FORM NUMBER |
DOCUMENT NAME |
| SF LLL (PDF) | Disclosure of Lobbying Activities |
| SF 269A (PDF) | Financial Status Report (Short Form) |
| SF 270 (PDF) | Request for Advance or Reimbursement |
| SF 271 (PDF) | Outlay Report and Request for Reimbursement for Construction Program |
| SF 424 (PDF) | Application for Federal Assistance |
| SF 424A (PDF) | Budget Information - Non-construction Programs |
| SF 424B (PDF) | Assurances - Non-construction Programs |
| SF 424C (PDF) | Budget Information - Construction Programs (Column C of SF 424C contains an error in the formula. Column C should be the result of Column A minus Column B. Error will be corrected shortly.) |
| SF 424 D (PDF) | Assurances - Construction Programs |
The files are presented only in PDF file formats. An Adobe Acrobat reader is needed to read and print PDF files. PDF files will allow you to see files in their original format.