Dry Cleaning Remediation Fund

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

 

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