UNITED STATES DEPARTMENT OF AGRICULTURE

Rural Utilities Service 

BULLETIN 1780-11

RD-GD-2020-106

SUBJECT: Water and Waste Loan/Grant Docket 

OFFICE OF PRIMARY INTEREST: Assistant Administrator, Electric 

Program. 

PURPOSE: This bulletin is issued only for use by State Program Officials in the 

preparation of documents which will inform applicants and RUS personnel on 

the items to be included in the docket.

DISCLAIMER: The contents of this guidance document does not have the force and effect of law and is not 

meant to bind the public in any way. This document is intended only to provide clarity to the public 

regarding existing requirements under the law or agency policies. 
RUS Bulletin 1780-11 

WATER AND WASTE LOAN/GRANT DOCKET

SF 424.2, "Application for Federal Assistance (For Construction)" 

Form RD 1910-11, "Application Certification, Federal Collection Policies for Consumer or 

Commercial Debts"

Clearinghouse Comments 

Form RD 1940-20, "Request for Environmental Information"

Form RD 1940-22, "Environmental Checklist for Categorical Exclusions," 

Form RD 1940-21, "Environmental Assessment for Class I Action," or Class II 

Environmental 

Assessment

Environmental Impact Statement, if necessary

Letter of Conditions

Form RD 1942-46, "Letter of Intent to Meet Conditions"

Any required agreement for services such as engineering, legal, accounting, auditing, 

maintenance, management, plant operations, water purchase or water treatment.

Construction contract and bidding documents 

Required evidence of compliance with any required State and local laws or regulations and 

not inconsistent with applicable development plans. 

Legal Documents:

Promissory note/bond

Bond Transcript 

Notice of sale of bond (if applicable)

Form RD 442-28, "Bond Registration Book" 

Evidence of title to pledged assets

Form RD 442-20, "Right-of-way Easement"

RUS Bulletin 1780-11 

Form RD 442-21, "Right-of-way Certificate"

Form RD 442-22, "Opinion of Counsel Relative to Rights-of-way"
Form RD 440-34, "Option to Purchase Real Property" 

Deeds Leases, Liens, Benefit Assessment Rolls

Assignment of Water Rights 

Evidence of Organization:

Other than public body: 

Articles of Incorporation, Bylaws

Rules and regulations, Charter 

List of applicant officers, Membership or user certificate

Certified List of all members of the governing body indicating the officers and term

of office

Certified List of users or members

Form RD 1942-8, "Resolution of Members or Stockholders" 

Form RD 1942-9, "Loan Resolution (Security Agreement)"

Other basic organization data 

Public Body: 

Legislation, court order, referendum, evidencing organization and authority.

Certified List of Users, Benefit Assessment Roll

Form RD 1942-47, "Loan Resolution (Public Bodies)" 

Fiscal:

Form RD 442-3, "Balance Sheet"

Form RD 442-7, "Operating Budget," including projected cash flow 

Evidence of user cash contribution and user agreements 

RUS Bulletin

1780-11 

Provision for interim financing

Evidence of collateral pledge 

Additional Forms:

Form RD 400-1, "Equal opportunity Agreement"

Form RD 400-4, "Assurance Agreement"

Form RD 400-6, "Compliance Statement" 

Form AD-622, "Notice of Preapplication Review Action" 

Form RD 1942-39, "Processing Check List (Other Than Public Bodies)" 

Form RD 1942-40, "Processing Check List (Public Bodies)" 

Form RD 442-10, "Appraisal Report - Water and Waste Disposal System"

Form RD 1942-45, "Project summary - Water and Waste Disposal and other 

Utility-Type Projects"

Form RD 1942-51, "Water and Waste Disposal - Development Grant Summary"

Form RD 1942-14, "Association Project Fund Analysis" 

Form RD 1940-1, "Request for obligation of Funds" 

Form RD 440-57, "Acknowledgment of Obligated Funds/Check Request"

Form RD 1924-16, "Record of Pre-Construction Conference"
This Bulletin is prepared only for use by State Program Officials in the preparation of

documents which will inform applicants and RUS personnel on the items to be included in 

the docket. State Program Officials will need separate documents for each different type 

applicant such as municipalities, districts and nonprofit corporations.