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For grantees receiving money directly from a state agency, all reports for 2008 forward must be completed online. Click on the Login tab of this webpage to begin. These forms are provided for historical and archival purposes. The blank word documents below are for use only by sub-grantees receiving money from another non-state entity.
Forms for Non-Governmental Agencies
(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
    - Certification Form (.PDF file) (Word file)
    - State Grants Compliance Reporting: < $25,000 (.PDF file) (Word file)
    - Both forms above due within 6 months of organization's year end; submit these to the funding agency only.

    Level 2 Reporting: Receiving at least $25,000 but less than $500,000
    - 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)
    - Schedule of Receipts and Expenditures (.PDF file) (Word file)
    - All forms above due within 6 months of organization's year end; submit these to the funding agency only.

    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

    Forms
    - State Agency Grant Certification - No Overdue Tax Debts Form (.PDF file)