Documents/Forms
Below are some of the links to forms presently required under the Connecticut dry cleaning establishment remediation fund program, listed in phases.
Forms & Documents: For dry cleaning operators BEFORE applying
Forms & Documents: For dry cleaning operators that the DECD invites to apply
- Application (new applicant, never previously funded, seeking first-time phase of funding)
- Returning Applicant Application (applicant who has previously received a DECD grant, and returning for another phase of funding)
- Eligible vs Ineligible Expenses
- Project Financing Plan & Budget (form to describe planned use of DECD grant and non-grant funds for testing and/or remediation)
- Budget Guidance Document
Forms & Documents: For dry cleaning operators approved and at the DECD legal phase
- Any dry cleaning establishment (operator) whose application package is approved (DECD issues a letter of interest to fund) goes through a legal due diligence phase. If all goes well, the applicant(s) sign an assistance agreement (contract) with the State of Connecticut.
Forms & Documents: For dry cleaning operators AFTER a State contract is fully executed
Any forms required to request the cost reimbursement(s) would be provided when appropriate, which include setting up electronic transfer of funds (payments).
- State of Connecticut Agency Vendor Form (SP-26NB-IPDF), requires approved applicant to attach a copy of a voided check
- Request for Taxpayer Identification Number and Certification (IRS Form W-9)
- Vendor Direct Deposit (ACH) Election Form - Company