Site Assessment Grant (SAG)
Reimbursement Materials and Other Information for Grantees

• Grant Procedures and Reimbursement Instructions [PDF 53KB] (updated 2/09)
• Reimbursement Materials
• Progress Report
• Requesting an Extension

Reimbursement Materials

In order to be reimbursed, grantees must complete and submit the following pieces of information to the DNR Grant Manager:

• Reimbursement Claim Form & Worksheet (Form 4400-222) [PDF 373KB] - This form is a fillable PDF.
• Brownfield Site Assessment Grant Program Final Report (Form 4400-223) [PDF 142KB] - Request for final reimbursement must be accompanied by the final report. This form is a fillable PDF.

The following Word document is an example of the documentation needed when cancellation of delinquent property taxes is claimed as matching funds for a SAG reimbursement request. To use this document, click on the link and then save the letter to your own computer.

• Back Taxes Cancellation Example Letter [DOC 25KB]

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Progress Report

• SAG Progress Report (Form 4400-244) [PDF 49KB] - This form is a fillable PDF. Local governments that receive grants should use this form to provide written progress reports to the DNR. See Grant Procedures and Reimbursement Instructions [PDF 52KB] for more information.

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Requesting an Extension

Grantees are allowed one (1) request to extend their grant period for up to a 12-month period of time. This request must be made in writing and during the grant period. If approved, you will receive a written response from the DNR that lists the new end date for your grant period. No extensions will be grant after expiration of the original grant period, or for periods greater than an additional 12 months.

You may request an extension of up to 12 months to the grant period if you:

• Have not completed all grant activities identified in the grant agreement;
• Need additional time to compete eligible activities; or
• Need additional time to complete payment for eligible activities.

The request must be submitted in writing and include:

1. a Progress Report (Form 4400-244) explaining what has been completed at the site and what needs to yet be completed,
2. a partial reimbursement request (Form 4400-222) for activities that have been completed to date, and
3. a letter from the community, signed by the Authorized Representative, summarizing information submitted on the Progress Report.

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For more information on this specific page, contact:

Shelley Fox
608.266.5798