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MISSOURI DEPARTMENT OF NATURAL RESOURCES WATER PROTECTION PROGRAM, FINANCIAL ASSISTANCE CENTERFOR OFFICE USE ONLYEMERGENCY FINANCIAL ASSISTANCE APPLICATIONDATE RECEIVEDSubmit to: Water Protection.

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How to use or fill out the MO Form MO 780-2844 online

Filling out the MO Form MO 780-2844, the emergency financial assistance application, can seem daunting. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the MO Form MO 780-2844 online.

  1. Press the ‘Get Form’ button to access the application form and open it for editing.
  2. Fill in the applicant information section. Start with the federal tax ID number or DUNS number, and then provide the applicant name, mailing address, city, state, ZIP code, county, telephone number with area code, email address, authorized representative name, and title.
  3. Enter the name of the person to contact regarding this application, along with their telephone number and the relevant state senate and representative district numbers for the project.
  4. Complete the architectural and engineering consultant information by entering the consulting engineer's name, mailing address, city, state, telephone number with area code, and email address.
  5. In the general information section, indicate whether the applicant has an adequate accounting system by selecting Yes or No. If 'No', you may need to provide additional documentation.
  6. For drinking water projects, complete the current monthly user charge for 5,000 gallons of drinking water and attach the current rate ordinance. For wastewater projects, provide the current monthly user charge for 5,000 gallons of wastewater and attach the current rate ordinance.
  7. Fill out the population served, amount of system/facility's operating reserve, number of connections, median household income of service area, and outstanding system/facility debt amounts.
  8. Provide estimated project cost information, including administrative/legal costs, engineering planning and design, construction engineering services, and all other relevant costs.
  9. State the amount of loan request and grant request. Include how the applicant plans to repay the loan, detailing the new user rate if it involves a rate increase.
  10. Describe the project need and attach additional pages if necessary. Also, attach any available engineering reports.
  11. Outline the project schedule milestones, providing anticipated dates for each key event, such as engineering report submission and construction start date.
  12. In the certification section, have the authorized representative sign and date the application, ensuring all information is accurate and true.
  13. If different from the applicant, the preparer should also sign and date, including their name and title.
  14. Finally, save your changes, then download, print, or share the completed form as necessary.

Begin filling out the MO Form MO 780-2844 online today to secure the assistance you need.

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