New York State Community Development Block Grant (CDBG) Program Forms
NYS Community Development Block Grant (CDBG) program forms and procedural documents available to download:
Fillable Forms:
- 2011 CDBG Competitive Round Application Forms (updated: 5/20/11)
- 2011 CDBG Competitive Round Application
- Economic Development Job Forms (updated: 11/18/09)
- Economic Development Pre-Submission Form (updated: 3/03/10)
- 1-1 Authorized Signature Form (updated: 11/18/09)
- 1-2 Designation of Depository Form (updated: 11/18/09)
- Program Information Form (updated: 12/22/11)
- Activity Detail Form with Budget (updated: 12/22/11)
- Applicant Disclosure Form (updated: 12/22/11)
- 1-3 Request for Release of Funds Form (updated: 11/18/09)
- 1-4 & 1-4A Request for Funds Disbursement Forms (updated: 08/20/10)
- 1-4 & 1-4A Request for Funds Disbursement Forms (updated: 07/27/10)
- 1-4 Microenterprise Request for Funds Disbursement Forms (updated: 08/03/10)
- 1-5 Model Release Form (updated: 11/18/09)
- 1-6 Property Release Form (updated: 11/18/09)
- 2-3 Certification of NEPA Classification (updated: 11/18/09)
- 2-3A Certification of SEQRA Classification (updated: 11/18/09)
- 2-4 NEPA Classification Checklist (updated: 11/18/09)
- 2-5 & 2-5A Statutory Checklist (updated: 11/18/09)
- 2-6 Environmental Assessment Checklist (updated: 11/18/09)
- 3-1 Annual Performance Report (updated: 01/10/12)
- 3-2 Project Status Report (updated: 11/18/09)
- 5-1 Request for Wage Determination Form (updated: 11/18/09)
- 7-1 Budget Modification Form (updated: 06/02/10)
- 7-2 Program Schedule Form (updated: 09/09/10)
- 9-1 Federal Assistance Expenditure Form (updated: 07/29/11)
- 10-1-5 Grant Closeout Forms (updated: 12/01/09)
File Maintenance Labels:
- L-3 Public Facility / Water and Sewer Labels (12/31/10)
- L-3 Public Facility / Water and Sewer Label Instructions (3/10/11)
- L-4 Homeownership Labels (12/31/10)
- L-4 Homeownership Label Instructions (3/10/11)
- L-5 Housing Rehabilitation Labels (12/31/10)
- L-5 Housing Rehabilitation Label Instructions (3/10/11)
Instructions:
- Economic Development Instructions (updated: 11/18/09)
- 1-1 Instructions for Authorized Signature Form (updated: 11/18/09)
- 1-2 Instructions for Designation of Depository Form (updated: 11/18/09)
- 1-3 Instructions for Request for Release of Funds (updated: 11/18/09)
- 1-4 & 1-4A Instructions for Request for Funds Disbursement Forms (updated: 07/27/10)
- 1-4 Instructions for Microenterprise Request for Funds Disbursement Forms (updated: 08/03/10)
- 2-5 & 2-5A Instructions for Statutory Checklist (updated: 11/18/09)
- 2-6 Instructions for Environmental Assessment Checklist (updated: 11/18/09)
- 3-1 Annual Performance Report Instructions (updated: 12/01/11)
- 3-2 Instructions for Project Status Report (updated: 11/18/09)
- 5-1 Instructions for Request for Wage Determination (updated: 11/18/09)
- 7-1 Instructions for Budget Modification Form (updated: 11/18/09)
- 7-2 Instructions for Program Schedule (updated: 09/09/10)
- 9-1 Instructions for FAE (updated: 07/29/11)
- 10-1-5 Instructions for Grant Closeout (updated: 11/18/09)
Last updated: 01/10/12


