ATTACHMENT A

WILDLIFE CROSSINGS PILOT PROGRAM APPLICATION CHECKLIST 

The Federal Highway Administration (FHWA) provides this Application Checklist for Fiscal

Years (FY) 2022 and 2023 Wildlife Crossings Pilot Program (WCPP) to assist project sponsors 

who intend to apply for a WCPP grant. This checklist is a tool that can assist applicants to 

ensure their application is complete. It is not required to be submitted with the application. 

Interested project sponsors who qualify as eligible applicants should read the FY 2022 and FY 

2023 WCPP Notice of Funding Opportunity (NOFO) in its entirety and especially where noted 

in this application checklist to submit eligible and competitive applications.

Basic Project Information

Basic Project Information - Provide a narrative for the below items on basic details pertinent 

to the project, including project name, description, location, involved parties, etc. Items in this

section will be used to determine grant program eligibility as detailed in Section C of the 

NOFO.

1 Project Name

2 Project Description Provide a concise description of the project including a 

discussion of the proposed project’s history and a 

description of any previously incurred costs. 

The project description should place the project into a 

broader safety context, including the history and trends of 

wildlife vehicle collisions (WVCs) within the project area,

any previous studies or interventions regarding WVCs in 

the project area, and their performance results. The 

description should also place the project into a broader 

conservation context, including identification of the 

species that will benefit from the project; existing 

conservation designations or plans for the wildlife 

corridor, habitat, or project area; and benefits to 

ecosystem processes and functions. The applicant may 

further use this section to place the project into a broader 

investment context, including other infrastructure 

investments being pursued by the project sponsor or other 

entities in the transportation corridor, or wildlife corridor 

or habitat including other conservation grant programs 

administered by other Federal, State, or local agencies.
2 

3 WCPP Requested Amount Exact amount in year-of-expenditure dollars: 

$ _______________________ 

4 Total Project Cost Estimate in year-of-expenditure dollars: $ 

Eligibility Criteria

5 Who is the Eligible 

Applicant? 

(Name and identify which eligible applicant category 

applies. Select from the below statutory eligible 

applicants. If there are multiple eligible applicants 

applying together, please identify which eligible applicant 

category applies to each of the eligible applicants.) 

☐ A State department of transportation

☐ A metropolitan planning organization

☐ Unit of local government

☐ A regional transportation authority

☐ A special purpose district or public authority with a 

transportation function

☐ Indian Tribe

☐ A Federal Lands Management Agency

6 Is there an Eligible Partner? 

If so, who is the Eligible 

Partner? 

☐ Yes

☐ No

If yes, name and identify which eligible partner category

applies. Select from the below statutory eligible 

partners. If there are multiple eligible partners applying 

together, please select for each of the eligible partners.

☐ A metropolitan planning organization

☐ Unit of local government

☐ A regional transportation authority

☐ A special purpose district or public authority with a 

transportation function
3 

☐ Indian Tribe

☐ An FLMA

☐ A foundation, nongovernmental organization, or 

institution of higher education 

☐ A Federal, Tribal, regional, or State government agency

7 Indicate the amount, type, 

and source(s) of the standard 

20% non-Federal match 

under 23 U.S.C. 120(b). 

If applicant believes a 

different matching share 

applies, cite the percentage, 

and justification. (See 

Section C.2 of the NOFO). 

Then, indicate the amount, 

type, and source(s) of funds 

for the different non-Federal 

match.

8 Eligible Project Type (Identify which eligible project type the proposed project 

addresses. Select from the below statutory eligible types) 

☐ Construction project, including all activities that lead to 

a built project 

☐ Non-construction project, including all other projects, 

such as research and planning studies 

9 Consultation with the State 

DOT

(Indicate whether your application includes 

documentation that the State department of transportation

in which you are located was consulted during the 

development of your application or indicate that the 

consultation requirement is not applicable) 

☐ Yes

☐ No, because I am a State department of transportation or 

Federal Land Management Agency

☐ No, because I am a Tribe and the project is located on 

Tribal land
4 

Additional Project Information

9 State(s) and/or Tribal land 

in which the project is 

located

10 Identify the Lead Applicant 

(who will be the applicant 

responsible for 

administration of WCPP

funds if application is 

selected and will be the 

POC for the application.) 

11 If a joint application, please 

provide organizational 

names of co-applicants, 

expected Eligible Partners, 

and expected sub-recipients 

that will receive funds. 

Location Information

12 Location of project area (Provide State and County, name of the city, town, or 

jurisdiction)

13 Provide Census FIPS codes 

or other geographic code 

identifiers for the project 

area

(Provide appropriate code(s))

14 Provide geographic 

coordinates for the project

(Provide Latitude/Longitude)

15 Is the project located in 

an urban area or rural 

area? (See Section C.3.d 

of the NOFO)

(Please select one)

☐ Urban Area per FHWA Adjusted Urban Area map: 

(https://hepgis.fhwa.dot.gov/fhwagis/ViewMap.aspx?m

ap=MPO+Boundaries|FHWA%20Adjusted%20Urban

%20Area)

☐ Rural (A Rural Area is an area not located in an Urban 

Area, as defined above) 

16 Is the project located 

(entirely or partially) in 

federally designated 

community development 

zone? 

(Please select one)

☐ Yes

☐ No

If Yes, please describe which of the four federally 
5 

designated community development zones in which your 

project is located. 

☐ Opportunity Zones: (https://opportunityzones.hud.gov )

☐ Empowerment Zones: 

(https://www.hud.gov/hudprograms/empow

erment_zones)

☐ Promise Zones: 

(https://www.hud.gov/program_offices/field_policy_mgt/fi

eldpolicymgtpz )

☐ Choice Neighborhoods: 

(https://www.hud.gov/program_offices/public_indian_hou

sing/programs/ph/cn )

17 Is the project area located on 

a federally recognized 

Indian Tribe land? 

(Please select one)

☐ Yes

☐ No

If yes, please provide the name of the Tribal land. 

18 Provide the 

congressional district(s) 

the project is located 

within 

Project Costs

Project Costs – Provide information detailing the costs associated with the project. These 

costs will be used to determine eligible award amount, how the project supports financial goals

of the program, and will be used by FHWA to undergo an analysis of the application’s 

Financial Completeness. More information on this section can be found in Section D.2.c.iii of

the NOFO.

1 WCPP Requested Amount Exact amount in year-of-expenditure dollars:

$

2 Estimated Total of Other Federal 

Funding (excluding WCPPRequested 

Amount) 

Estimate amount in year-of-expenditure dollars:

$ 

3 Estimated Other Federal Funding 

(excluding WCPP Requested Amount) 

Further Detail

(List each Federal program that will provide 

other Federal funding and identify whether that 

program is Formula or Discretionary and the 

amount provided from each Federal program, 

e.g. 

Program:
6 

Amount: , 

and repeat for each source) 

4 Estimated Non-Federal Funding (Identify each source of non-Federal funding 

and estimated amount, e.g. 

Source:

Amount: , 

and repeat for each source) 

5 Future Eligible Project Cost (Sum of

WCPP Requested Amount, Estimated 

Total of Other Federal Funding, and 

Estimated Non-Federal Funding, above) 

Estimate in year-of-expenditure dollars:

$ 

6 Previously Incurred Project Costs

(including any expenses expected to be 

incurred between the applicant being 

selected for award and obligation of 

WCPP funds) 

Estimate in year-of-expenditure dollars:

$ 

7 Total Project Cost (Sum of ‘Previously 

Incurred Project Costs’ and ‘Future 

Eligible Project Cost’) 

Estimate in year-of-expenditure dollars:

$ 

Project Merit Criteria

Project Merit Criteria – Provide narrative response on how the project responds to the primary 

and secondary selection criteria in Section E.1 of the NOFO. In responding to Project Merit 

Criteria, refer to Section E.1.a and E.1.b of the NOFO. 

1.1 

Criterion #1.1: Wildlife Vehicle Collisions

The project contributes to the Wildlife Vehicle Collisions criterion by... 

1.2 

Criterion #1.2: Terrestrial and Aquatic Habitat Connectivity

The project contributes to the Terrestrial and Aquatic Habitat Connectivity criterion by... 

2.1 

Criterion #2.1: Leveraging Investments

The project contributes to the Leveraging Investments criterion by... 

2.2 

Criterion #2.2: Economic Development and Visitation Opportunities

The project contributes to the Economic Development and Visitation Opportunities by... 
7 

2.3 

Criterion #2.3: Innovation 

The project contributes to the Innovation criterion by... 

2.4 

Criterion #2.4: Education and Outreach

The project contributes to the Education and Outreach criterion by... 

2.5 

Criterion #2.5: Monitoring and Research

The project contributes to the Monitoring and Research criterion by... 

2.6 

Criterion #2.6: Survival of Species

The project contributes to the Survival of Species criterion by... 

Project Readiness

Project Readiness– Submit the requested information for FHWA to conduct a review of the 

project readiness, as described in Section E.1.c of the NOFO. 

Technical Assessment

A

Will the State DOT be administering the 

grant? If so, has the State DOT agreed to 

administer the grant and is there 

information on this agreement? (See 

Section E.1.c of the NOFO, and 23 U.S.C. 

171(f)(2)(A)(ii))

☐ Yes 

☐ No

If yes, please provide supporting information 

on the agreement between the State DOT and 

applicant. 

B

If applicable, is the project currently

programmed in the:

• TIP

• STIP

• MPO Long Range Transportation Plan

• State Long Range Transportation Plan

(Please select one)

☐ Yes

☐ No

☐ (If Yes, please specify in which plans the 

project is currently programmed, the year 

in which the project is currently 

programmed, and provide the identifying 

number if applicable)

C

Have there been public engagement 

opportunities?

☐ Yes (Provide details including the 

degree to which public comments and 

commitments have been integrated into 

project development and design)

☐ No

D

Will there be public engagement 

opportunities?

☐ Yes

☐ No

 If Yes, please provide details.

E Indicate detailed project schedule including 
8 

all major project milestones.

F

Is right-of-way acquisition necessary? ☐ Yes

☐ No

If Yes, Planned or Actual Start of Right-ofWay Acquisition Date: ____________ 

If Yes, Planned or Actual Completion of 

Right-of-Way Acquisition Date: _________ 

G

Right-of-way acquisition considerations (if 

applicable) 

If right-of-way must be acquired for the 

project:

1. Would right-of-way acquisition 

require relocation of any people 

or businesses? 

☐ Yes

☐ No

2. If Yes, are the people or businesses 

being relocated members of traditionally 

underserved and underrepresented 

populations (Environmental Justice 

communities)?

3. If Yes, please describe the required 

relocation of any people or businesses. 

H

Design Status (If applicable) Planned or Actual Start of Preliminary 

Design Date: ____________________ 

Planned or Actual Completion of Preliminary 

Design Date: ____________________ 

Planned or Actual Start of Final Design Date:

_____________________ 

Planned or Actual Completion of Final 

Design Date: ___________________

I Anticipated Construction Start Date (If 

applicable):

 Date: _____________________

J Anticipated Project Completion Date: Date: _____________________

K

Indicate potential project risks and 

strategies undertaken or that might be taken 

to mitigate those risks.
9 

Environmental Review and Permitting Risk

A National Environmental Policy Act 

(NEPA) Status – Indicate the timeline for 

the NEPA process and if the NEPA 

determination is or will likely be the result 

of a Categorical Exclusion, Environmental 

Assessment, or Environmental Impact 

Statement, if applicable.

Planned or Actual Start of NEPA Date:

Planned or Actual Completion of 

NEPA Date: 

Final NEPA Determination or current status

of NEPA process:

B Will all necessary environmental 

approvals and permits meet the project 

delivery timeline specified in the project 

schedule? 

☐ Yes (Please provide documentation)

☐ No

C Indicate potential environmental review 

and permitting risks and strategies 

undertaken or that might be taken to 

mitigate those risks.