Get Dwsrf Ais De Minimis Bfinalb Report Form - Ctgov - Ct

This guide will assist you in accurately completing the DWSRF AIS De Minimis BFinalb Report Form required by the Connecticut Department of Public Health. Following the steps outlined below will ensure you provide all necessary information and documentation for your project.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin filling out the form with the Public Water Supply (PWS) Name and PWSID, which are essential identifiers for your project.
3. Provide the Project Name and Loan Agreement Number to ensure that the form is linked to the correct financial documentation.
4. In the 'Total Cost of Materials' section, carefully calculate and input the total cost, including delivery and applicable taxes, for all materials used in the project.
5. Ensure compliance with the 5% limit for de minimis incidental components, as well as the individual 1% limit for each component, by reviewing your entries against documentation.
6. List all manufacturers and component descriptions involved in the project, along with their part/model numbers, quantity, and cost per unit, if applicable.
7. Total the costs for each component and calculate the Total De Minimis Cost of Components to confirm that it aligns with the established limits.
8. Provide your name, title, and date in the designated area. Ensure that you sign the form to validate the information.
9. Detail how the cost is documented by including specific invoices or other supporting documentation.
10. Review the entire form for accuracy before saving changes, downloading, printing, or sharing the completed document.

Take action now and complete the necessary documents online.