Skip to content

Forms and Guidance

New - Online Loan Applications

Loan Applications are submitted online with the   Water Online Application System.

All hard-copy pay requests, or other forms may be sent electronically to   DEC.Water.MGL.MAT@alaska.gov  or mailed to:

State of Alaska
DEC/Division of Water
Municipal Grants and Loans
P.O. Box 111800
Juneau, AK 99811
Attn.: MAT (Municipal Administration Team)

Alaska Clean Water Fund

Loan Application Packet (Required prior to executing agreement)
ACWF Loan Application Please visit   /water/oasys/index.html.
ACWF Model Resolution (PDF) This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document.
Attorney's Certification Letter:
Example 1 (PDF)  |   Example 2 (PDF)
We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan.
EPA Form 6600-06 (PDF)
Disclosure of Lobbying Activities (PDF)
The anti-lobbying certification is a requirement for entering into a financial agreement with the Department.
Useful Life Certification (PDF) For loans with construction improvements and that are listed on the ACWF SFY16 Intended Use Plan (IUP) and thereafter, a minimum useful life of the improvements must be certified by an Alaska registered professional engineer.

ACWF Reimbursement Request (PDF)

Force Account Construction Projects  -   NEW  (Optional - required only for force account construction projects)
Force Account Labor Worksheet (PDF)
Force Account Equipment Program Operating Guidance (PDF)

COST and EFFECTIVENESS CERTIFICATION  -   NEW  
Cost and Effectiveness Form (PDF)
(Certification must be provided by loan recipient before proceeding with final design and/or construction)
NRDC - Recommended Guidance for Assessing the Cost and Effectiveness of Efficiency, Reuse, and Recapture Projects (PDF)

FISCAL SUSTAINABILITY PLANS  -   NEW  
Fiscal Sustainability Plan Guidance (PDF)
FSP Certification Form (PDF)

Debarment Certification (PDF)  - Federal;   Excluded Parties List System

Alaska Drinking Water Fund

Loan Application Packet (Required prior to executing agreement)
ADWF Loan Application Please visit   /water/oasys/index.html.
ADWF Model Resolution (PDF) This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document.
Attorney's Certification Letter
Example 1 (PDF)  |   Example 2 (PDF)
We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan.
Capacity Assessment Worksheet (PDF) This information provides us the technical, financial and managerial capabilities of the water system, for assessing a systems long-term operation capabilities.
EPA Form 6600-06 (PDF)
Disclosure of Lobbying Activities (PDF)
The anti-lobbying certification is a requirement for entering into a financial agreement with the Department.

ADWF Reimbursement Request (PDF)

Force Account Construction Projects  -   NEW  (Optional - required only for force account construction projects)
Force Account Labor Worksheet (PDF)
Force Account Equipment Program Operating Guidance (PDF)

Debarment Certification (PDF)  - Federal;   Excluded Parties List System

Financial Capacity Assessment

AIS - American Iron and Steel

Special Davis-Bacon Construction Contract Language Requirements

(PDF)DBE (Disadvantaged Business Enterprises) Forms

Good Faith Effort and Contract Administration Requirements
Program Summary - Handout (PDF)  (Revised, November 2016)

DBE Forms - Contract Forms (PDF)  (Revised, November 2016)
(Includes EEO Statement, DBE Subcontractor Participation and Performance Forms)

EEO Statement Form (PDF)

DOT/PF - Civil Rights Office

MBE/WBE Minority Business Enterprise/Women Business Enterprise Reporting (DBE Reporting)

Green Infrastructure Forms and Guidance