Non-UGLG Distribution Templates

Coronavirus State and Local Fiscal Recovery Funds Program

Non-UGLG Distribution Templates.xlsx

Non-UGLG Distribution Templates

OMB: 1505-0271

Document [xlsx]
Download: xlsx | pdf

Overview

Non-UGLG Distribution
Non-UGLG Distribution - Trans


Sheet 1: Non-UGLG Distribution

Non-UGLG County Name Jurisdiction Name Population of Jurisdiction Allocation amount Jurisdiction Number Jurisdiction DUNS number Taxpayer Identification Number (TIN) Jurisdiction Address 1 Jurisdiction Address 2 Jurisdiction Address 3 Jurisdiction City Jurisdiction State Jurisdiction Zip Code Jurisdiction Zip +4 Jurisdiction Email Address Jurisdiction Point of Contact Name Jurisdiction Point of Contact Phone Number Jurisdiction Point of Contact Email Authorized Representative Name Authorized Representative Email Did the jurisdiction decline and transfer funding to the state?
(Y / N)
Additional Notes









































































































































































































































































Sheet 2: Non-UGLG Distribution - Trans

Non-UGLG County Name Jurisdiction Name Jurisdiction Number
(assigned by the State)
Jurisdiction DUNS number Transaction ID
(assigned by the State)
Transaction Type Transaction Description Transaction Amount Transaction Date
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy