Community Services Block Grant Forms 

Listed below are the listings for the Community Services Block Grant Forms (CSBG). Please take a moment and familiarize yourself with all forms and summaries before proceeding.

FY13 Community Services Block Grant Technical Assistance Manual

Subgrantee Agreement Forms (The following forms must be submitted with the subgrantee agreement) 

• Budget Summary (Attachment A) 
• 2013 Board Resolution

Programmatic Forms 

• 2013 CSBG Poverty Guidelines
• Disclaimer Form
• Client Intake Form
• Consultant Contract (submit this form with the first partial payment voucher)

Fiscal/Partial Payment Voucher Forms (The following forms must be submitted with every partial payment voucher, if applicable)

• Consultant Time Sheet 
• Fiscal Monitoring Report 
• Mileage Reimbursement 
• Painless Time Log 
• Personnel Certification Form 
• Request for Budget Modification 
• Summary Sheet