2008 Cost Schedule - July 1, 2008
NOTE: The July 1, 2008 Schedule of Corrective Action Costs (Cost Schedule) applies to all State Assurance Fund applications and requests received on and after July 1, 2008, with one exception.

This exception applies to the Direct Payment requests submitted against an ADEQ-approved Preapproval application received prior to July 1, 2008. These Direct Payment requests must use the same Cost Schedule and Activity or Phase Codes that were approved in the Preapproval application.

• July 2008 Cost Schedule Introduction
• July 2008 Cost Schedule General Notes
• July 2008 Table of Cost Schedule Item Codes
• July 2008 Table of Cost Schedule Item Code Descriptions
• July 2008 Table of Phase Codes
• July 2008 Cost Schedule Statute and Rule References for Phases of Corrective Actions

2006 SAF Claim Forms (Updated June 4, 2006)

• Reimbursement Application
  • Reimbursement Application Form (PDF) (Word)
  • Primary Provider Invoice Checklist (PDF) (Word)
  • Reimbursement Worksheet (PDF) (Excel)
  • Reimbursement Worksheet Instructions
  • Summary of Work Form (PDF) (Word)
  • Affidavit: Proof of Payment (PDF) (Word)
• Direct Payment Request
  • Direct Payment Request Form (PDF) (Word)
  • Primary Provider Invoice Checklist (PDF) (Word)
  • Direct Payment Worksheet (PDF) (Excel)
  • Direct Payment Worksheet Instructions
  • Summary of Work Form (PDF) (Word)
  • Supplemental Cost Worksheet: Evaluation under A.R.S. § 49-1054(C)(2) (PDF) (Excel)
  • Instructions for Supplemental Cost Worksheet
  • Substitution Request and Waiver Table (PDF) (Excel)
  • Affidavit: Proof of Payment (PDF) (Word)
• Preapproval Application
  • Preapproval Application Form (PDF) (Word)
  • Preapproval Worksheet (PDF) (Excel)
  • Preapproval Worksheet Instructions
• General Use SAF Forms
  • 2006 Affidavit: Proof of Payment (PDF) (Word)
  • 2006 Notice of Withdrawal (PDF) (Word)

Previous Cost Schedule

• 1996 - 2007

Please return all completed forms (original signatures and dates are mandatory) to:

Arizona Department of Environmental Quality
SAF Program
1110 W. Washington St.
Phoenix, AZ 85007