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EPA Grantee Forms

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Form Title and Number PDF WP Word
Preaward Compliance Review Report for All Applicants Requesting Federal Financial Assistance
(EPA Form 4700-4)
   
Form Title and Number PDF WP Word

MBE/MBE Utilization Under Federal Assistance Agreements and Interagency Agreements
EPA Form 5700-52A

  Microsoft Word

Close Out - Lobbying and Litigation Certification for Grants and Cooperative Agreements*
EPA Form 5700-53

WordPerfect Microsoft Word
Form Title and Number
PDF
WP
Word

Key Contacts Form
EPA Form 5700-54

WordPerfect Microsoft Word
Key Contacts Form [Additional]
EPA Form 5700-54
WordPerfect Microsoft Word

Fellowship Application
EPA Form 5770-2                             [Page 1 of 5]

WordPerfect Microsoft Word

Fellowship Application
EPA Form 5770-2                             [Page 2 of 5]

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Fellowship Application
EPA Form 5770-2                             [Page 3 of 5]
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Fellowship Application
EPA Form 5770-2                             [Page 4 of 5]
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Fellowship Application
EPA Form 5770-2                             [Page 5 of 5]
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Form Title and Number PDF WP Word

Fellowship Facilities and Commitment Statement
EPA Form 5770-3                            [Page 1 of 2]

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Fellowship Facilities and Commitment Statement
EPA Form 5770-3                            [Page 2 of 2]
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Fellowship Applicant Qualifications Inquiry
EPA Form 5770-4                            [Page 1 of 3]
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Fellowship Applicant Qualifications Inquiry
EPA Form 5770-4                            [Page 2 of 3]
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Fellowship Applicant Qualifications Inquiry
EPA Form 5770-4                            [Page 3 of 3]
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Form Title and Number
PDF
WP
Word
Agency Fellowship Certification
EPA Form 5770-5
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Form Title and Number
PDF
WP
Word
Financial Status Report
Standard Form 269                            [Page 1 of 2]
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Financial Status Report
Standard Form 269                            [Page 2 of 2]
WordPerfect  
Financial Status Report
Standard Form 269a   
Adobe Acrobat    
Request for Advance or Reimbursement
Standard Form 270                            [Page 1 of 2]
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Request for Advance or Reimbursement
Standard Form 270                            [Page 2 of 2]
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Form Title and Number
PDF
WP
Word
Outlay Report and Request for Reimbursement for Construction Programs
Standard Form 271                            [Page 1 of 2]
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Outlay Report and Request for Reimbursement for Construction Programs
Standard Form 271                            [Page 2 of 2]
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Federal Cash Transactions Report
Standard Form 272                            [Page 1 of 2]
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Federal Cash Transactions Report
Standard Form 272                            [Page 2 of 2]
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Federal Cash Transactions Report
Standard Form 272a   
Adobe Acrobat    
Application for Federal Assistance
Standard Form 424                         
   
US EPA Payment Request
EPA 190-F-04-001
   
Form Title and Number
PDF
WP
Word
Budget Information - Non-Construction Programs
Standard Form 424A                           [Page 1 of 4]
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Budget Information - Non-Construction Programs
Standard Form 424A                           [Page 2 of 4]
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Budget Information - Non-Construction Programs
Standard Form 424A                           [Page 3 of 4]
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Budget Information - Non-Construction Programs
Standard Form 424A                           [Page 4 of 4]
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Form Title and Number
PDF
WP
Word

Assurances - Non-Construction Programs
Standard Form 424B
[Page 1 of 2]

 
Assurances - Non-Construction Programs
Standard Form 424B
[Page 2 of 2]
 
Form Title and Number
PDF
WP
Word
Budget Information - Construction Programs
Standard Form 424C                          [Page 1 of 2]
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Budget Information - Construction Programs
Standard Form 424C                          [Page 2 of 2]
WordPerfect  
Form Title and Number
PDF
WP
Word
Assurances - Construction Programs
Standard Form 424D                          [Page 1 of 2]
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Assurances - Construction Programs
Standard Form 424D                          [Page 2 of 2]
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Pre-Award Disclosure of Lobbying Activities
Standard Form LLL                             [Page 1 of 2]
WordPerfect  
Pre-Award Disclosure of Lobbying Activities
Standard Form LLL                             [Page 2 of 2]
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Fellowship Stipend Payment Enrollment Form, EPA 190-F-05-001    
EPA Fellowship Termination Notice
EPA Form 5770-9
WordPerfect  
US EPA Payment Request
EPA Form 190-F-04-001
WordPerfect Microsoft Word
ACH Vendor/Miscellaneous Payment Enrollment Form
Standard Form 3881
Adobe Acrobat    

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Grants Management Forms Leaving EPA Disclaimer- These are standard forms used in Grants that can be downloaded in PDF. These forms are maintained by OMB.

Sample Indirect Cost Proposal Format for Nonprofit Organizations

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