View, download and print forms that are pertinent to projects that have been funded by CDBG or HOME grants.
Subrecipient Summary Report - Direct Benefit Activities
Required for quarterly performance reporting on projects using CDBG funds. Please contact Michelle L. Pultz-Orthaus at 517-768-6436 or by e-ail at mpultz@cityofjackon.org if you would like to create and submit a quarterly report form customized for your agency.
This form is typically filed with quarterly reports, but can be submitted at any time. Proper documentation must accompany a reimbursement request, such as 1) copies of invoices or receipts with proof they were paid; 2) employee's payroll form, timesheet indicating amount of time spent on CDBG-related work, and copy of employee's check; 3) mileage form with employee check; or any other documenttaion related to reimbursement for eligible CDBG activities.
Any CDBG-funded activity must serve at least 51% low- and moderate-income persons; HOME requires 100% of its funds to assist families with incomes below 80% of the area median income. Proof of current income documentation is required at the time services are rendered.
This form may be used to verify the income of clients. It must be filled out, signed, and dated by the client.