Other Forms to be
Filed Along With the Application
(Please consult the regulations on the previous page
for other documents you may need to submit with the
application.) |
| For All Programs |
1940-20 Request for Environmental
Information |
| |
|
| For all Direct loans
and grants, not guaranteed loans |
AD 1047 Certification Regarding
Debarment, Suspension, and Other Responsibility
Matters – Primary Covered Transactions |
| For all Direct loans
and grants, not guaranteed loans |
400-1 Equal Opportunity Agreement |
| For all Direct loans
and grants, not guaranteed loans |
400-4 Assurance Agreement |
| For all Direct loans
and grants, not guaranteed loans |
AD 1048 Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary
Exclusion – Lower Tier Covered Transactions |
| |
|
| For Grants Only |
AD 1049 Certification Regarding Drug-Free
Workplace |
| For Grants Only |
DUNS number registration process |
| |
|
| For Grants which
exceed $100,000 |
Exhibit A-1, 1940-Q – Certification
Regarding Lobbying |
| |
|
| For Guaranteed Loans
which exceed $150,000 |
Exhibit A-2, 1940-Q – Certification
Regarding Lobbying |
| |
|
| If applicable (see
explanation to the right) |
SF LLL – Disclosure of Lobbying
Activities (If any funds have been or will be paid
to any person for influencing or attempting to
influence an officer or employee of any agency, a
Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in
connection with this commitment providing for the
United States to provide financial assistance.) |
| |
|
| For REDLG |
Certification
Regarding Uniform
Relocation Assistance |
| |
|
| For Energy Program |
Guide 5 - Applicant Eligibility
Certifications |
| For Energy Grant
Program |
Guide 6 - Simplified Grant Application
Certification |
