Small Communities Grant Reimbursement Request Transmittal Form

Small Communities Water and Wastewater Grants (SCG)

This form is for grantees under contract to use to submit reimbursement requests.

The grant reimbursement request requires two steps:

1. Complete the CDPHE Standardized Invoice Form accessible on the web page, https://cdphe.colorado.gov/standardized-invoice-form.

2. Complete this transmittal form.

This form is in a question and answer format.

For assistance in using this form, please contact

cdphe.wqcd.watergrants@state.co.us , 720 248-7394, or your grant Project Manager