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Section 3
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  Community Initiatives > Emergency Solutions Grant (ESG) Program

 

FY2018 Funded Agency Documents 
 

bullet FY2018 ESG Desk Guide
bullet CI-100: Direct Deposit Form
bullet CI-101: Authorized Signature Card
bullet CI-102: Site Contact Form
bullet CI-103: Self Declaration of Income
bullet CI-104: Homeless or At Risk Certification
bullet CI-105: Self Declaration of Housing Status
bullet CI-106: Disaster Homelessness Self Certification
bullet CI-107: CoC Attendance Form
bullet CI-108: MHDC Consent Form
bullet CI-108: MHDC Consent Form (DV)
bullet CI-109: Staff Certification of Zero Income
bullet CI-110: Identification Certification
bullet ESG-200: Written Standards Certification
bullet ESG-201: Income Eligibility Worksheet
bullet ESG-202: Income Verification Worksheet
bullet ESG-203: Staff Certification of ESG Eligibility
bullet ESG-204: Receipt of Assistance
bullet ESG-205: Habitability Standards Emergency Shelter
bullet ESG-205: Habitability Standards Permanent Housing
bullet ESG-206: Rent Reasonableness and FMR
bullet ESG-207: Lead Screening Worksheet
bullet ESG-208: Property Owner Lead Certification
bullet ESG-209: Recertification Form
bullet ESG-210: Match Certification
bullet ESG-211: Payment Request
bullet ESG-212: Expense Detail Form
bullet VAWA Lease Addendum

 

 

FY2017 Funded Agency Documents

 
bullet

Documentation for Administrative Costs

bullet

ESG Income Limits NEW 05-04-2017

bullet

FY2017 ESG Desk Guide NEW 04-17-2017

bullet

ESG-200: Direct Deposit Form

bullet

ESG-201: Authorized Signature Card

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ESG-203: Site Contact Form

bullet

ESG-204: Written Standards Certification

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ESG-206: Income Eligibility Worksheet

bullet

ESG-207: Income Verification Worksheet

bullet

ESG-208: Self-declaration of Income

bullet

ESG-209: MHDC Consent Form

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ESG-209: MHDC DV Consent Form

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ESG-211: Staff Certification

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ESG-212: Receipt of Assistance

bullet

ESG-213: Homeless or At-Risk Certification

bullet

ESG-214: Self-declaration of Housing Status

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ESG-215: Staff Certification of Housing Status

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ESG-216: Habitability Standards Checklist Emergency Shelter

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ESG-216: Habitability Standards Checklist Permanent Housing

bullet

ESG-217: Rent Reasonableness Checklist

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ESG-218: Lead Screening Worksheet

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ESG-221: Property Owner Lead Certification Form

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ESG-222: Recertification Form

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ESG-225: CoC Meeting Attendance Form

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ESG-228: Budget Amendment Form

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ESG-229: Match Certification

bullet

ESG-300 Payment Request Form UPDATED 01-18-2017

bullet

ESG-303_Expense Detail Form   UPDATED 06-09-2017

bullet

CI-300 Identification Certification

bullet

Disaster Self-Declaration Form ADDED 07-28-2017

 

 

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