Application Package

• Complete Application Package in PDF format
  PDF (618 KB)
• Loan Insurance Application and Approval Process Instructions
  Word (73 KB)
  PDF (56 KB)
• Exhibit A - Application for Health Facility Construction Loan Insurance
  Word (105 KB)
  PDF (50 KB)
• Exhibit B - Financial Feasibility Guidelines
  Word (75 KB)
  PDF (63 KB)
• Exhibit C - Estimate of Cost and Requisition (OSH-CM-134)
  Excel (25 KB)
  PDF (18 KB)
• Exhibit D - Declaration of official intent (Form resolution for those borrowers that intend to be reimbursed for certain expenditures from the proceeds of the indebtedness.)
  Word (17 KB)
  PDF (12 KB)
• Exhibit E1 - Phase 1 Environmental Site Assessment Instructions
  Word (17 KB)
  PDF (11 KB)
• Exhibit E2 - Phase 1 Environmental Site Assessment Questionnaire
  Word (20 KB)
  PDF (10 KB)
• Exhibit F - Supplemental Management and Disclosure Information Requirements
  Word (18 KB)
  PDF (8 KB)
• Exhibit G - Certification of Feasibility Consultant
  Word (12 KB)
  PDF (16 KB)