Grantee Forms & Reporting for Brownfields and Land Revitalization in New England
For your convenience, the forms below designated by an SFF are in a "screen-fillable" format. Using the most recent version of Adobe Acrobat, you can open the form and fill in the information right on the screen. You may then print out the information and include in your application or reporting packet.
You may need a PDF reader to view some of the files on this page. See EPA's About PDF page to learn more.
Grant Management Documents
Grant Application/Amendment Forms
- SF-424 Application for Federal Assistance (PDF) (3 pp, 265 K, SFF)
- SF 424A Budget Information – Non-Construction Programs (PDF) (3 pp, 314 K, SFF)
- Standard Form 424B Assurances – Non-Construction (PDF) (2 pp, 113 K, SFF)
- Standard Form LLL Disclosure of Lobbying Activities (PDF) (1 pg, 204 K, SFF)
- EPA Form 4700-4 Pre-award Compliance Certification
- EPA Form 6600-06 Certification Regarding Lobbying
- EPA Form 5700-54 Key Contacts Form (PDF) (2 pp, 174 K, SFF)
- Workplan Templates
- Assessment Grant Workplan Template (MS Word)(7 pp, 43 K)
- Cleanup Grant Workplan Template (MS Word)(7 pp, 39 K)
- Revolving Loan Fund Grant Workplan Template (MS Word)(8 pp, 38 K)
- Budget Attachment
- Budget Attachment 1 (MS Word)(1 pg, 15 K)
- Budget Attachment 1 (MS Excel)(6 pp, 25 K)
- Additional forms may be found at Grants.gov.
Payment Requests
If your municipality or organization is registered in and use ASAP.gov for Federal Government payments, you must request payment though this system. If not, you can use the following form:
EPA 190-F-04-001 US EPA Payment Request
Please email your Payment Request to lvfc-grants@epa.gov
Reporting
Quarterly Reports
- Revolving Loan Fund Program Report Template (MS Word)(4 pp, 33 K)
- Job Training Grant Quarterly Report Template (MS Word)(7 pp, 27 K)
- Job Training Reporting Form
Please email a copy of your quarterly reports to your Project Officer by the due date.
Assessment & Cleanup Reports are entered in ACRES.
MBE/WBE Report
Please email a copy of your MBE/WBE report to:
Larry Wells - DBE Coordinator (R1_MBEWBEReport@epa.gov)
5 Post Office Square, Boston, MA 02109
617-918-1836
Your Project Officer
ACRES
The Assessment, Cleanup and Redevelopment Exchange System (ACRES) is an online database for Brownfields Grantees to electronically submit data directly to EPA.
- Current Users – Login to ACRES
- New Users – If you are new to ACRES, you will need to register at the ACRES Log In page. Follow the steps in the ACRES Registration for New Users (PDF) (3 pp, 288 K) to start using ACRES.
Federal Financial Report
- SF425 Federal Financial Report (FFR) (PDF) (7 pp, 268 K)
Please email a copy of your SF425 report to your Project Officer.
Please email your Federal Financial Report to lvfc-grants@epa.gov.
Closeout Process
Closeout reports are due no later than 90 days after the end of the cooperative agreement period of performance. The reports required for closeout are:
- Final Federal Financial Report
- SF425 Federal Financial Report (FFR) (PDF) (7 pp, 268 K)
- Final MBE/WBE Report
- Final Technical Report
The final technical report should be in the format of a Quarterly Report (See above for template and example below) and summarize all activities performed during the grant period to include:- a final budget
- a list of all sites assessed/cleaned up using grant funding
- all activities performed using grant funding