Grant Re-Allocation Request Form

Community Development Revolving Loan Fund
Grant Re-Allocation of Approved Funds Request Form
This form must be completed by credit unions requesting to re-allocate approved funds
for requests associated with the CDRLF program awards.
Credit unions must complete this form and submit it to [email protected]. The
email subject line should be “Grant Re-Allocation Request” and include the grant
commitment number of the award.
NCUA will respond to the change request by email. All change requests require
approval in writing. Typically, NCUA does not approve re-allocation requests.
1. Date of Request:
2. Credit Union Name:
3. Charter Number:
4. Initiative:
5. Commitment Number:
6. Application ID Number:
7. Authorized Credit Union
Contact Name:
8. Credit Union Contact
Email Address:
9. Credit Union Contact
Telephone #:
10. Authorized Credit Union
Contact Signature:

1

Office of Credit Union Resources and Expansion
Grant Re-Allocation Request Form
OMB Control Number 3133-0138

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Describe the project the credit union was initially awarded funds for in this application and provide the
reason(s) the credit union is requesting the re-allocation. Then complete the chart below.

Initiative/Expense Category

Amount Approved for
Initiative/Expense Category

Proposed Re-Allocation Amounts

Internal Use Only
(NCUA)

Office of Credit Union Resources and Expansion
Grant Re-Allocation Request Form
OMB Control Number 3133-0138