Grantee Forms

Frequently Used Forms

• Certificate of Completion (Word)
  Upon completion of all work on a project, this form is completed by the Project Sponsor, the homeowner, the contractor and the Rehabilitation Specialist.  It is then submitted with the claim for reimbursement of eligible expenses.  Failure to submit this form with the claim will cause its return to the Project Sponsor.

• Claim Form (Word)
  Used when submitting to the City for reimbursement on the grant award and contract.

• Davis-Bacon Payment Request (Word)
  If a project is Davis-Bacon eligible, this form must be completed by the Project Sponsor and submitted with each claim form to receive eligible reimbursement expenses.

• Davis-Bacon Applicability Review (Word)
  This form is completed by the Project Sponsor and sent to the Davis-Bacon Compliance Monitor. This is a requirement for all CDBG and HOME projects over $2000 in scope.  This form must be submitted NO LATER THAN February 9, 2007, or PRIOR TO ANY WORK ON THE PROJECT.

• Environmental Review Request (Word) Completed by the Project Sponsor, this form must be sent to the City Environmental Review Officer along with a photograph of the project building/area.  This must be done prior to ANY WORK beginning on a project.  The City will issue a Rehabilitation/Construction Approval Form based on the Environmental Review, which will serve as a notice to proceed on the project.

• Monitoring Form (PDF)
  Used by City employees when monitoring programs, this form helps ensure that each Project Sponsor is meeting the regulations determined by the City of Indianapolis and the U.S. Department of Housing and Urban Development.
  
  
• HOME Set Up Form (PDF)
  Through this form, HOME participants are better able to manage their programs and meet fund commitment and expenditure guidelines.
  

• Rehab Completion Report (PDF)
• Partial Payment Request Form (Word)

• Final Payment Request Form (Word)

• Subcontractor List

Federal Funding

• 2004 Program Income (PDF)

• Section 3 Project Sponsor Form
  
• Section 3 Contractor Form

The PDF forms on this website require Adobe Acrobat Reader, a free web browser plug-in available from Adobe Systems' website.

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