CDBG Handbook, Forms and Samples
- Community Development Block Grants
- Current: CDBG Handbook and Forms
CDBG Handbook, Samples and Forms
- Download the CDBG Handbook For ease of reading, please open bookmarks in PDF.
For the most current information please download the Grant Services Duties and Responsibilities list directly here.
**Please note: Not all forms listed below are required to be filled out. If you have questions on certain forms, please contact Grant Services. Please also note, several forms on this page are now archived, but their form numbers remain listed for clarity purposes.
CDBG Forms
Not sure who to ask? Download the Grant Services Duties and Responsibilities list directly here.
Please note: Not all forms listed below are required to be filled out. If you have questions on certain forms, please contact Grant Services. Please also note that several forms on this page are now archived, but their form numbers remain listed for clarity purposes.
- Citizen Participation
- Procurement
- Environmental Review
- Acquisition and Relocation
- Financial Management
- Contract Development and Modification
- Civil Rights
- Labor Standards
- Closeout and Monitoring
- FORM 1: Sample Request for Proposal doc
- FORM 2: Sample Request for Proposal Publication doc | pdf
- FORM 3: Proposal Evaluation doc | pdf
- FORM 4: Sample Letter to Short Listed Firms doc | pdf
- FORM 5: Sample Letter to Firms Not Short Listed doc | pdf
- FORM 6: Interview Evaluation and Scoring Form doc | pdf
- FORM 7: Sample Letter to Selected Firm doc | pdf
- FORM 8: Sample Letter to Firm(s) Not Selected doc | pdf
- FORM 9: Sample Request for Qualifications doc | pdf
- FORM 10: Sample Request for Qualifications Publication doc | pdf
- FORM 11: Statement of Qualifications Evaluation doc | pdf
- FORM 12: Letter Short Listed Forms doc | pdf
- FORM 14: Interview Evaluation and Scoring Form doc | pdf
- FORM 16: Letters to Firms not Selected doc | pdf
- FORM 17: Sample Invitation for Bid Publication doc | pdf
- FORM 18: Sample Bid Tabulation doc | pdf
- FORM 19: Cost Price Analysis doc | pdf
- FORM 20: Small Purchase Request for Quotation doc | pdf
General Environmental Review
- Form ER-001: Certification of Exemption or CENST
- Form ER-002: Environmental Agency Consultation Log
- Form ER-003: Request for Release of Funds and Certification
Categorically Excluded Subject To (CEST) 24 CFR 58.35 (a)
- Form CEST-001: Certification of CEST - Statutory Worksheet (coming soon)
- Form CEST-002: Site Specific Tier 2 Review- CEST ERR
Environmental Assessment (EA) 24 CFR 58.5 & 58.6
- Form EA-001: Environmental Assessments Preliminary Compliance Report
- Form EA-002: Environmental Assessments Record
Lead Safe Housing Rule
- Form Lead-001:CDBG Lead Hazard Applicability Screening
- Form Lead-002: CDBG LSHR Exemptions
- Form Lead-003: Verification of Completed Lead Hazard Reduction Activities
Radon
- Form Radon-001: CDBG Radon Applicability Checklist
- Form Radon-002:CDBG Radon Exemption for Limited Duration of Occupancy
- Form Radon-003: Certification of Prohibitively High Testing Costs
- Form Radon-004: CDBG Radon Mitigation Plan
- Form Radon-005: CDBG Radon Verification of Completed Mitigation
Floodplain Review
- Form Floodplain-001: Determination of 24 CFR Part 55 Applicability
- Form Floodplain-002: The 8-Step Decision Making Process
- Form Floodplain-003: The 5-Step Decision Making Process
Templates
- Template ER-001: Notice of Intent to Request Release of Funds (2021)
- Template ER-002: NOIRROF for Tiered Reviews
- Template ER-003: Notice of Finding No Significant Impact (2021)
- Template ER-004: Notice to Public of No Significant Impact on the Environment and Notice to Public of Release of Funds (2021)
- Template ER-005: Notice for Early Public Review of a Proposal to Support Activity in the 100-Year Floodplain or Wetland (2021)
- Template ER-006: Notice of Explanation of Project Located in a Floodplain or Wetland
- FORM 1: Acquisition File Checklist doc | pdf
- FORM 2: Property Acquisition/Relocation Questionnaire doc | pdf
- FORM 3: Initial Notice to Property Owner doc | pdf
- FORM 4: URA Brochure: When a Public Agency Acquires Your Property pdf
- FORM 4A: URA Brochure Receipt doc | pdf
- FORM 5: Property Appraisal Invitation doc | pdf
- FORM 5A: Property Appraisal Invitation Receipt doc | pdf
- FORM 6: Letter of Purchase Offer doc | pdf
- FORM 7: Waiver of Acquisition Rights with Full Donation After Appraisal doc | pdf
- FORM 8: Waiver of Acquisition Rights with Partial Donation After Appraisal doc | pdf
- FORM 9: Waiver of Acquisition Rights with Full Donation With No Appraisal doc | pdf
- FORM 10: Willing Buyer/Willing Seller Transaction Letter doc | pdf
- FORM 1: Federal Cash Control Register- Federal Fiscal Year excel
- FORM 2: Contract Obligation Control Ledger excel
- FORM 3: Contractor Expenditure Ledger excel
- FORM 4: Property Inventory Ledger excel
- FORM 5: Local Match Ledger excel
- FORM 6.4: Professional Service Providers doc | pdf
- FORM 8: Program Income-Quarterly Report doc | pdf
- FORM 1: Applicant/Recipient Disclosure/Update Report (Expiration date: Feb. 28, 2027) pdf
- FORM 1.5: Request for Conflict of Interest Exception doc | pdf
- FORM 2: Category 1 Modification Request Letter: Sample Grant Completion Extension doc | pdf
- FORM 3: Category 1 Modification Request Letter: Sample Request of Category 1 (other than time extensions) doc | pdf
- FORM 4: Category 2 and/or Category 3 Modification Request Budget Modification doc | pdf
- FORM 5: Category 2 and/or Category 3 Modification Sample Request doc | pdf
- FORM 6: Category 2 and/or Category 3- Notice of Grant Modification: Sample Public Notice doc | pdf
- FORM 7: Category 3: Grant Modification Sample Resolution doc | pdf
- FORM 2: Sample Fair Housing Ordinance doc | pdf
- FORM 4: Sample Drug-Free Workplace Ordinance doc | pdf
- FORM 5: Resident Employment Opportunity Data doc | pdf
- FORM 6: Certification for Business Concerns Seeking Section 3 Preference in Contracting doc | pdf
- FORM 7: Examples of Efforts to Award Contracts to Section 3 Businesses doc | pdf
- FORM 8: Section 3 Compliance Form doc | pdf
- FORM 9: Certification of Accessibility doc | pdf
- FORM 10: Community Sample Language Access Plan for Limited English Proficiency Persons doc
- FORM 2: Initial Wage Determination Assignment Notice doc | pdf
- FORM 3: Pre-Bid Conference Sign-In Sheet doc | pdf
- FORM 4: Pre-Bid Conference Guide Acknowledgement doc | pdf
- FORM 5: Wage Determination Lock-In Notice doc | pdf
- FORM 6: Contractor/Subcontractor Verification doc | pdf
- FORM 7: Contract Award doc | pdf
- FORM 8: Preconstruction Conference Acknowledgement doc | pdf
- FORM 9: Wage/Fringe Benefit Certification excel | pdf
- FORM 10: Contractor's Certification doc | pdf
- FORM 11: Subcontractor's Certification doc | pdf (updated March 2019)
- FORM 12: Notice to Start Construction doc | pdf
- FORM 14: Record of Employee Interview Instructions and Form HUD-11 (English 2021) pdf
- FORM 14: Record of Employee Interview Instructions and Form HUD-11 (Spanish 2021) pdf
- FORM 15: Final Wage Compliance Report doc | pdf
- FORM 16: Final Inspection/Project Completion doc | pdf
- FORM 17: Sample In-Kind Volunteer Labor Letter doc | pdf
- FORM 18: Persons Approved to Complete In-Kind Donation excel | pdf
- FORM 19: In-Kind Donation Tracking Sheet excel | pdf
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