Grantee Resources
Forms and Reports
Required Forms (Click on form tab below the name of each form)
- Request for Reimbursement (RFR) Form
FormRequest for Reimbursement Form (RFR)
This form must be filled in completely and is due no later than 30 days after the close of the previous month. Expenditures should be broken out by category and entered into the appropriate category tab. Supporting documentation should be included with each RFR. Instructions for the RFR document are included on the “Getting Started tab of the worksheet.
Request for Reimbursement (RFR) Form
Helpful Hints: RFR Documentation - Budget Revision Request Worksheet
FormBudget Revision Request
This form needs to be completed for requests for additional line items or when you anticipate spending in excess of any approved budget category by 25% or more. - Report on Income Earned
FormReport on Income Earned
This form needs to be completed if income is generated by a grant supported activity or earned as a result of the grant agreement during the grant period. Examples of program income are fees charged to register participants at a conference supported by a grant, or the sale of books, publications, software, etc. fabricated or produced under the grant. - Certification of Audit Requirement
FormCertification of Audit Requirement Form
According to OMB Circular A-133, “Audits of States, Local Governments, and Non-Profit Organizations,” a sub-recipient that spends $500,000 or more in total federal assistance during its fiscal year is required to have a single audit conducted in accordance with the Single Audit Act, except when it elects to have a program specific audit. The Certification of Audit Requirement Form is due to TCJ no later than 30 days after the end of your organization’s fiscal year. - Application Coversheet
FormApplication Cover Sheet
This form must be completed by prospective grantees and submitted as part of their grant application when required by the relevant request for applications (RFA)
Application Cover Sheet - Contact Information
FormContact Information
This form must be completed by prospective grantees and submitted as part of their grant application when required by the relevant request for applications (RFA).
Contact Information
- Budget Workbook
FormBudget Workbook
This form must be completed by prospective grantees and submitted as part of their grant application when required by the relevant request for applications (RFA). Instructions for completing the budget workbook are included on tab 1 of the workbook and in the relevant RFA. If the applicant is selected for funding, this form will become part of the grant award agreement.
Budget Workbook - Pre Award Questionnaire
FormPre Award Questionnaire
This form must be completed by prospective grantees and submitted as part of their grant application when required by the relevant request for applications (RFA). CJA staff used this form to evaluate applicants’ internal controls and to inform monitoring activities if the applicant receives funding.
Pre Award Questionnaire
Required Reports (Click on report tab below the name of each form)
- Interim Report
ReportInterim Report
A progress and financial report covering the first six months of the grant period are due no later than 30 days following the close of the reporting period. The progress report will describe progress made towards meeting project objectives. The report will require the submission of both quantitative and qualitative information to assist in program evaluation. - Final Reports
ReportFinal Report
A final performance and financial report covering all twelve months of the grant period are due no later than 30 days following the close of the reporting period. The final performance report follows the same format as the interim report but will assess the overall achievement of your project’s objectives.