Follow the steps to fill out the form efficiently

1. Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by entering the applicant/recipient's name, address, state, and zip code in the designated fields.
3. Answer the question regarding whether the applicant is currently receiving EPA assistance by selecting 'Yes' or 'No'.
4. In the section for civil rights lawsuits, list any pending lawsuits and administrative complaints related to discrimination based on protected characteristics, following the instructions provided.
5. Provide details for any completed civil rights lawsuits or administrative complaints from the past year, including corrective actions taken.
6. List any civil rights compliance reviews conducted in the last two years along with the required documentation.
7. If the applicant is requesting assistance for new construction, provide necessary details regarding accessibility for people with disabilities.
8. Indicate if the applicant maintains demographic data on the population served, ensuring confidentiality and accuracy.
9. Confirm whether the applicant has procedures in place for individuals with limited English proficiency.
10. Designate a compliance coordinator if applicable, providing their contact information as required.
11. Certify the form by obtaining the signature of the authorized official, along with their title and the date.
12. Review the completed form for accuracy and clarity before submitting.
13. Finally, save the changes, and choose to download, print, or share the form as needed.

Start filling out the EPA Form online today to ensure timely processing of your application.