Salt Lake County
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Community Resources and Development

Forms & Information for Contracting Agencies

Plans and Reports

Reporting Forms

After School - This contract year runs from July 1 to June 30. See individual contract and website references for report deadlines. To simplify administration, the County has adopted many of the State forms and processes below. Billings will not be processed if a current report is not on file with CRD.

  1. After School Mid-year Program Report and Annual Report
  2. After School Agency Quality Self-Assessment
  3. After School County Qualifying Cash Match Certification Form

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 Playing By the Rules Handbook

Emergency Solutions Grant - The ESG program, which runs July 1 to June 30, requires a quarterly report. 

  1. Emergency Solutions Grant (ESG) Online Report Form
  2. Emergency Solutions Grant - Match Certification 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. SSBG 25% Match Certification Form
  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, HOME, After School, Sustainable Communities and SSBG grants. 

  1. After School Billing Form
  2. CDBG Billing Form
  3. SSBG & ESG combined billing form
  4. HOME Billing Form
  5. Sustainable Communities Billing Form

Miscellaneous Forms

W-9 Form

Electronic Funds Transfer (EFT) Form