Get Cp73 Form

Filling out the Cp73 Form online is a straightforward process that allows municipalities to request reimbursement through the CHIPS Capital Reimbursement Program. This guide provides step-by-step instructions to help users efficiently complete the form and ensure all necessary information is included.

Follow the steps to successfully complete the Cp73 Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the municipal description section, type the name of your municipality along with the six-digit NYSDOT municipal code online.
3. Under project listing, type the route number or name for the specific street, highway, bridge, or other project that you are requesting reimbursement for. If referring to multiple streets or projects, indicate ‘see attached list’ and include a list detailing each item and costs.
4. Type the project location online by identifying where the project begins and ends. This applies to any projects on your attached list as well.
5. Select online the one project type that best describes the project’s major component from the six standard definitions. Then, choose the project sub-type that best reflects the work done.
6. Input the total project cost online for each project when requesting reimbursement, keeping in mind that the total often exceeds the reimbursement request.
7. Input the reimbursement amount requested for each project. If this amount is the final reimbursement request for the project, select the 'yes final payment' option, or select 'no final payment' if further requests will follow. The grand total will be calculated at the bottom of the column.
8. For certification, select the expenditure eligibility period by entering the specific dates as required.
9. Ensure that the certification statement is signed by the municipal official indicated on the form.
10. Type the phone number of the official who signs the form online, and select the date on which the certification was signed.
11. If applicable, type the email address of the same municipal official.
12. After completing the form, save your changes, and you have the option to download, print, or share the completed form.

Complete your Cp73 Form online today to streamline your reimbursement request process.