Forms: Grants and Loans
This page contains forms that may be used by the Board's various grant programs. To access grant-related forms specific to some of CIWMB's main grant programs, use the links below. You should also visit the page for your specific grant program to learn more, or contact your CIWMB grant manager if you have questions or need additional information.
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| Title | Number | Adobe | Word/Excel |
|---|---|---|---|
| General Checklist of Business Permits, Licenses, and Filings | CIWMB 669 (Rev. 9/07) | PDF, 42 KB | MS Word, 227 KB |
| Grant Payment Request Form | CIWMB 87 (Rev. 9/07) | PDF, 30 KB | MS Word, 133 KB |
| Local Enforcement Agency (LEA) Grant Budget Report | CIWMB 166 (Rev. 8/06) | PDF 30 KB | MS Excel, 26 KB |
| Payee Data Record | STD. 204 | PDF Fill-In, 163 KB | |
| Personnel Expenditure Summary | CIWMB 165 | MS Word, 43 KB | |
| Reliable Contractor Declaration | CIWMB 168 (Rev. 2/08) | PDF, 24 KB | MS Word, 72 KB |
| Travel Expense Log Form (Includes a sample completed form.) | CIWMB 246 (Rev. 2/08) | PDF, 28 KB | MS Excel, 27 KB |
 Grant Self-Assessment Checklist |
CIWMB 641 (New 6/08) | PDF, 73 KB | MS Word, 196 KB |
Recycled-Content Certification Forms, CIWMB 74G |
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| General Grant Programs | CIWMB 74G * | PDF, 24 KB | MS Word, 125 KB |
| Environmental Ambassador Pilot Grants | CIWMB 74G-Environmental | PDF, 22 KB | MS Word, 110 KB |
| Farm and Ranch Cleanup Grants | CIWMB 74G-Farm | PDF, 80 KB | MS Word, 108 KB |
| Local Enforcement Agency Grants | CIWMB 74G-LEA | PDF, 23 KB | MS Word, 110 KB |
| Reuse Assistance Grants and Sustainable Building Grants | CIWMB 74G-Reuse | PDF, 66 KB | MS Word, 109 KB |
| Solid Waste Disposal and Site Cleanup Grants | CIWMB 74G-Cleanup | PDF, 58 KB | MS Word, 93 KB |
| Tire Grants | CIWMB 74G-Tire | PDF, 27 KB | MS Word, 153 KB |
| Tire Enforcement Grants | CIWMB 74G-Tire Enforcement | PDF, 22 KB | MS Word, 111 KB |
| Sample completed 74G-Tire Enforcement | PDF, 26 KB | MS Word, 139 KB | |
| Unified Education Strategy Grants | CIWMB 74G-Unified | PDF, 23 KB | MS Word, 110 KB |
| Used Oil Grants and Household Hazardous Waste Grants | CIWMB 74G-Oil | PDF, 22 KB | MS Word, 71 KB |
* This is a pilot form that may eliminate the need for the customized forms listed above.
Last updated:
July 8, 2008
Financial Assistance, http://www.ciwmb.ca.gov/Grants/
Contact: (916) 341-5062 grants@ciwmb.ca.gov
Financial Assistance, http://www.ciwmb.ca.gov/Grants/
Contact: (916) 341-5062 grants@ciwmb.ca.gov