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Community Resources and Development

Forms & Information for Contracting Agencies

Reporting Forms

Community Development Block Grant - The CDBG program year runs July 1 through June 30. Beneficiary data must be submitted quarterly with the fourth quarter report including data for the total fiscal year. Reports are due within 30 days of the end of the reporting period. Billing requests will not be processed if a current report is not on file. 

  1. CDBG Public Service (PS) and Public Service Building Improvements (PSBI) Online Report Form
  2. CDBG Housing Online Report Form
  3. Federal Funding Accountability and Transparency Act (FFATA)
  4. CDBG Statement of Work and Budget Form
  5. CDBG Playing By the Rules Handbook

Emergency Shelter Grant - The ESG program, which runs July 1 to June 30, requires an annual report. 

  1. Emergency Shelter Grant (ESG) Online Report Form

Social Services Block Grant - The SSBG year runs from July 1 to June 30.  Reports must be submitted quarterly and are due within 30 days of the end of the reporting period. Billing requests will not be processed if a current report is not on file.

  1. SSBG Online Report Form - instructions
  2. FY 2010-2011 SSBG Grant Agreement between State of Utah and Salt Lake County
  3. SSBG Conflict of Interest Disclosure Form
  4. Utah Department of Human Services Provider Code of Conduct Poster

Billing Forms

Completed billing forms must be submitted to the County with all required backup documentation for reimbursement of CDBG, ESG and SSBG grants. 

  1. CDBG Billing Form
  2. EECBG Billing Form
  3. ESG Billing Form
  4. HOME Billing Form
  5. SSBG Billing Form 
  6. SSBG 25% Certification Form
  7. Sustainable Communities Billing Form

Miscellaneous Forms & Documents

  1. W-9 Form
  2. Salt Lake County Identification Number (Substitute W-9 Form)
  3. Electronic Funds Transfer (EFT) Form
  4. 2010 Consolidated Action Plan Executive Summary [For entire Plan contact Randy Jepperson at rjepperson@slco.org or 385-468-4886]