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FORMS USED IN PROCESSING APPLICATIONS
RELATED TO WATER AND WASTE PROGRAMS

A D - Agriculture Department Forms
R D - Rural Development Forms
S F - Standard Forms

   Other Forms Links: [O M B 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]

Agriculture Department Forms

FORM NUMBER

DOCUMENT NAME

A D-1047 (P D F) Certification Regarding Debarment, Suspension and other Responsibility Matters
A D-1048 (P D F) Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
A D-1049 (P D F) Certification Regarding Drug Free Workplace Requirements

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Rural Development Forms

FORM NUMBER

DOCUMENT NAME

R D 400-1 (P D F) Equal Opportunity Agreement
R D 400-4 (P D F) Assurance Agreement
R D 400-6 (P D F) Compliance Statement
R D 400-8 (P D F) Compliance Review
R D 402-1 (P D F) Deposit Agreement
R D 402-2 (P D F) Statement of Deposit and Withdrawals
R D 440-11 (P D F) Estimate of Funds Needed
R D 440-22 (P D F) Promissory Note
R D 442-2 (P D F) Statement of Budget, Income and Equity
R D 442-3 (P D F) Balance Sheet
R D 442-7 (P D F) Operating Budget
R D 442-20 (P D F) Right-of-Way-Easement
R D 442-21 (P D F) Right-of-Way Certificate
R D 442-22 (P D F) Opinion of Counsel Relative to Rights-of-Way
R D 442-30 (P D F) Water Purchase Contract
R D 1910-11 (P D F Application Certification
R D 1924-7 (P D F) Contract Change Order
R D 1924-9 (P D F) Certificate of Contractor's Release
R D 1924-10 (P D F) Release by Claimants
R D 1924-12 (P D F) Inspection Report
RD 1924-16 (PDF) Record of Pre-Construction Conference
R D 1924-18 (P D F) Partial Payment Estimate
R D 1927-9 (P D F) Preliminary Title Opinion
R D 1927-10 (P D F) Final Title Opinion
R D 1942-8 (P D F) Resolution of Members or Stockholders
R D 1942-19 (P D F) Agreement for Engineering Services
R D 1942-46 (P D F) Letter of Intent to Meet Conditions

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Standard Forms

FORM NUMBER

DOCUMENT NAME

S F L L L (P D F) Disclosure of Lobbying Activities
S F 270 (P D F) Request for Advance or Reimbursement
S F 271 (P D F) Outlay Report and Request for Reimbursement for Construction Program
S F 424 (P D F) Application for Federal Assistance
S F 424 A (P D F) Budget Information - Non-construction Programs
S F 424 B (P D F) Assurances - Non-construction Programs
S F 424 C (P D F) 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.) 
S F 424 D (P D F) Assurances - Construction Programs

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The files are presented only in P D F file formats. An Adobe Acrobat reader is needed to read and print P D F files. P D F files will allow you to see files in their original format.


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