Seal of Dane County County of Dane
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Dane County CDBG

Sub-Recipient Forms

When using these forms, please verify from your program specialist that you are using the most current version of each form.

Mortgage Reduction

Dane County Loan Eligibility Screening

Homebuyer File Checklist

2014 Dane County CDBG & HOME Assistance Eligibility

Dane County CDBG – HOME Borrower Affidavit

Homebuyer Program Lead Compliance Document Checklist

IDIS homebuyer setup and completion form

Income and Asset Interview

Lead Paint Screening Sheet

Voluntary Acquisition

Statement of Voluntary Sale

Inspection Request Dane County CDBG

Major Home Rehabilitation

Initial Request form

Final Request form

Dane County Prime Contractor and Subcontractors

2014 Dane County HOME&CDBG Assistance- Loan Eligibility Screening

Homeowner Rehab Setup and Completion form

Lead Flowchart

Income and Asset Interview

Lead Paint Screening Sheet

Notice of Presumption (sample)

Lead Paint Rehab Screening Addendum

Notice of Lead Hazard Reduction (sample)

Notice of Lead Evaluation (sample)

Post Construction Safe Work Practices Certification

Minor Home Repair

Minor Home Repair Document Checklist

Lead Paint Screening Sheet

Notice of Lead Evaluation (sample)

Notice of Presumption (sample)

Notice of Lead Hazard Reduction (sample)

Lead Paint Rehabilitation Screening Addendum

Rental

HOME Rental Project Compliance Report

Public Services

Beneficiary Data Report

Beneficiary Report- Head of Household

CDBG Expense Report

Public Facilities

Beneficiary Data Report

Beneficiary Report- Head of Household

CDBG Expense Report

Employment & Contract Summary Report

Checklist for CDBG-Funded Construction Projects over $2,000

Microbusiness Assistance

Income Certification Form

Beneficiary Data Reporting Form

CDBG Expense Report