(Click here to jump down to forms for use by State Agencies, including State Grant Certification - No Overdue Tax Debt.)
(Individual Certification format for subgrantees who are individuals, not entities.PDF file Word file)


FORMS FOR NON-GOVERNMENTAL ORGANIZATIONS

(includes both non-profit and for profit organizations receiving State grant funds)

  • Grantee Forms for Reporting on State or Federal Pass-through Grants

    • Level 1 Reporting:  Receiving less than $25,000
    • Level 2 Reporting:  Receiving at least $25,000 but less than $500,000
    • Level 3 Reporting:  Receiving $500,000 or more
      • Certification Form (.PDF file)  (Word file)  
      • State Grants Compliance Reporting: >= $25,000 (.PDF file)  (Word file)
      • Program Activities and Accomplishments Report (.PDF file)  (Word file)   
      • "Yellow Book" Audit done by CPA to include Schedule of Federal and State Awards  (.PDF file)  (Excel file)
      • All forms and report due within 9 months of organization's year end; submit these to the funding agency and to the Office of the State Auditor.  Note: An A-133 audit may be substituted for the yellow book audit.


FORMS FOR STATE AGENCIES