WATER AND WASTE DISPOSAL LOANS AND GRANTS
FEDERAL CATALOG NO. 10.760

REQUEST FOR ELIGIBILITY DETERMINATION

COMPLETE THE ATTACHMENTS AND PROVIDE THE FOLLOWING:

1. LETTER REQUESTING ELIGIBILITY DETERMINATION FOR THE WATER AND WASTE DISPOSAL PROGRAM.

   DESCRIBE THE FOLLOWING:

   • APPLICANT ENTITY TO OWN, OPERATE, AND CONSTRUCT AND/OR IMPROVE THE PROPOSED FACILITY.

   • STATUTORY AUTHORITY OF APPLICANT TO OWN, OPERATE, AND CONSTRUCT AND/OR IMPROVE THE PROPOSED FACILITY. ALSO, AUTHORITY TO BECOME INDEBTED, AND ESTABLISH TAXES OR OTHER REVENUES TO REPAY DEBT.

   • FACILITY TO BE CONSTRUCTED AND/OR IMPROVED AND SERVICE AREA AS WELL AS AMOUNT OF FUNDING BEING REQUESTED.

2. COPY OF CURRENT FINANCIAL STATEMENT.

3. RUS BULLETIN 1780-22: ELIGIBILITY CERTIFICATION

4. EVALUATION OF CAPACITY TO ACCESS CREDIT MARKETS AND USER AFFORDABILITY AT MARKET RATES AND TERMS (CREDIT EVALUATION GUIDE) (Microsoft Word Format)

5. FORM AD-1047: CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS (Microsoft Word format)

6. FOR NON-PROFIT CORPORATIONS -
         a. PROVIDE ARTICLES OF INCORPORATIONS AND BYLAWS
         b. SURVEY ON ENSURING EQUAL OPPORTUNITY FOR APPLICANTS            (PDF format)

7. OBTAINING A DATA UNIVERSAL NUMBERING SYSTEM NUMBER (DUNS) (Microsoft Word format)

QUESTIONS? You may contact one of our four New Jersey Rural Development Area Offices which serve your community by clicking on the following link: Area Office.

USDA RURAL DEVELOPMENT IS AN EQUAL OPPORTUNITY LENDER, PROVIDER
AND EMPLOYER. COMPLAINTS OF DISCRIMINATION SHOULD BE SENT TO:
USDA, DIRECTOR, OFFICE OF CIVIL RIGHTS, WASHINGTON, DC 20250-9410