![[logo] US EPA](https://webarchive.library.unt.edu/eot2008/20090512051553im_/http://www.epa.gov/epafiles/images/logo_epaseal.gif){kind=logo}
Required Forms
- EPA Form 190-F-04-001 Payment Request for Grants/Cooperative Agreements
- SF269A Financial Status Report (Short Form)
-
Used to request payment via Electronic Funds Transfer (EFT) (Non-ASAP recipients)
-
Used to close out a grant/cooperative agreement
- SF269 Financial Status Report (Long Form)
- SF270 Request for Advance or Reimbursement
- SF271 Outlay Report and Reimbursement Request for Construction Programs
- SF272 Federal Cash Transactions Report PDF Format or Word Doc Format
-
Used to close out a grant/cooperative agreement
-
To be used by recipients with program income
-
Used to request payment in lieu of EPA form 190-F-04-001
-
Used for unique EPA programs or those recipients permitted by LVFC (By exception only)
-
Used to request payment in lieu of EPA form 190-F-04-001
-
Used for unique EPA programs or those recipients permitted by LVFC (By exception only)
-
Annual grant financial review (Jan. 1/Dec. 31)
- SF272A Federal Cash Transactions Report (Continuation Form) PDF Format or Word Doc Format
-
Annual grant financial review (Jan. 1/Dec. 31) additional form for recipients with multiple grants/cooperative agreements
- SF3881 - Banking Data Form (PDF)
-
Used by grant/cooperative agreement recipients to be able to receive Electronic Funds Transfer (EFT) - for non-ASAP recipients
- EPA form 190-F-05-001 Fellowship Stipend Payment Enrollment
-
Used for setting up fellowship direct deposit via receive Electronic Funds Transfer (EFT)
- EPA form 5570-9 Completion of Studies Form
- EPA Form 5700-52A Minority/Women’s Business Enterprise Utilization Report (MBE/WBE)
-
Required form for fellowship recipients
-
Required if any funds were expended for supplies, equipment, or contractual services during the life of the assistance agreement. This form is submitted to your regional grants office.
- US EPA Electronic Payment Designation Form
- Superfund Reallocation Form (MS Excel)
-
Used for international recipients to convey banking information.
-
Used to properly expense the correct superfund site. The completed request must include the eight digit SSID(s) for the specific site(s) being charged. Use of this reallocation form is a vital step in Superfund cost recovery.
|
|
|