An agency shall provide prospective well owners with information on the Program and application forms. An applicant shall submit a completed application to the agency in accordance with the agency's procedures. A completed application shall include: A completed application form provided by the agency; Certification with respect to annual income; Proof of home ownership of the property on which the well is situated; Test results indicating the presence of radium or gross alpha above the EPA threshold levels; and A paid invoice or receipt, dated after the effective date, indicating that payment has been made for installation of a water treatment system for the purpose of removing radium or gross alpha from the well water.