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This form is used to request payment for services related to the Community Development Block Grant program, requiring expense details, accomplishments, and certification of work completion.
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How to fill out COMMUNITY DEVELOPMENT BLOCK GRANT HUMAN SERVICE REQUEST FOR PAYMENT FORM

01
Obtain the COMMUNITY DEVELOPMENT BLOCK GRANT HUMAN SERVICE REQUEST FOR PAYMENT FORM from the official website or local office.
02
Fill in the applicant's name and contact information at the top of the form.
03
Provide the specific project name or program for which the request is being made.
04
Detail the services provided, including dates and descriptions.
05
Enter the total amount being requested for reimbursement.
06
Attach any required supporting documentation, such as receipts or proof of services rendered.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the form and all attachments to the appropriate authority or office.

Who needs COMMUNITY DEVELOPMENT BLOCK GRANT HUMAN SERVICE REQUEST FOR PAYMENT FORM?

01
Organizations or agencies that receive funding through the COMMUNITY DEVELOPMENT BLOCK GRANT program.
02
Nonprofits providing human services that require reimbursement for expenses incurred.
03
Local government entities managing projects funded by the COMMUNITY DEVELOPMENT BLOCK GRANT.
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If CDBG funds are spent, but the project is not finished within a reasonable period of time, HUD will determine that no National Objective was met and will require that all funds expended be repaid out of non-federal dollars.
The Community Development Block Grant (CDBG) Program provides annual grants on a formula basis to states, cities, and counties to develop viable urban communities by providing decent housing and a suitable living environment, and by expanding economic opportunities, principally for low- and moderate-income persons.
If CDBG funds are spent, but the project is not finished within a reasonable period of time, HUD will determine that no National Objective was met and will require that all funds expended be repaid out of non-federal dollars.
CSBG is a federally funded block grant that aims to reduce poverty in the United States. CSBG is funded by the U.S. Department of Health and Human Services, Administration for Children and Families, Office of Community Services.
II. § 9901 et seq., to be eligible for CSBG services, clients must be at or below 100% of the federal poverty line as determined by the federal Office of Management and Budget (OMB) based on the most recent federal Census data and as revised annually (or more frequently) by HHS.
II. § 9901 et seq., to be eligible for CSBG services, clients must be at or below 100% of the federal poverty line as determined by the federal Office of Management and Budget (OMB) based on the most recent federal Census data and as revised annually (or more frequently) by HHS.
What is a Community Development Block Grant (CDBG)? The Community Development Block Grant is a federally funded grant program administered by the U.S. Department of Housing and Urban Development (HUD), aimed to assist low to moderate-income communities in community development projects.

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The COMMUNITY DEVELOPMENT BLOCK GRANT HUMAN SERVICE REQUEST FOR PAYMENT FORM is a document used by organizations to request payment for services and expenses incurred under the Community Development Block Grant program.
Organizations and agencies that have been awarded funding through the Community Development Block Grant program are required to file this form to receive reimbursement for eligible expenses.
To fill out the form, complete all required fields with accurate information regarding the expenses being claimed, including detailed descriptions and amounts, and ensure that it is signed by an authorized representative of the organization.
The purpose of the form is to facilitate the process of reimbursing organizations for costs related to human services projects funded by the Community Development Block Grant program.
The form must report the organization name, grant number, a detailed breakdown of expenses, the purpose of each expense, supporting documentation, and the signature of an authorized representative.
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