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Economic Development 

• Sample Completed Job Benefit Verification Employee Certification Form (doc)
• Job Certification Summary Form (doc)
• Job Benefit Verification Employee Certification Form (doc)
• Cognovit Promissory Note (doc)
• Guaranty of Completion (doc)
• Guaranty (doc)
• Instructions for CDBG ED Program Closing Binder (doc)
• Intercreditor and Subordination Agreement (doc) 
• Loan Agreement (doc)
• Open-End Mortgage  (doc)
• Security Agreement (doc)  

Fiscal 

Payment Distribution - Required Forms

• Authorized Signature Card for Request for Payment and Status of Funds Report (DS2)  Updated October 6, 2011 (doc)
• Grant Distribution Information (DS3) Updated October 6, 2011 (doc)
• Signature Certificate Sample Updated October 6, 2011 (doc)

Request for Payment and Housing-related Setups

• Request for Payment and Status of Funds Report (DS5) (xls)
• Housing Rehabilitation/Homeownership Setup and Cost Adjustment Form Updated September 30, 2011 (xls)
• Rental Housing Setup and Cost Adjustment Form Updated September 30, 2011 (xls)
• Tenant-Based Rental Assistance Report Form Updated September 30, 2011 (xls)

Vendors - Ohio Shared Services
(See "Vendor Forms" on the Ohio Shared Services website)

• Authorization Agreement for Direct Deposit of EFT Payments
• Request for Taxpayer Identification Number and Certification (W-9) 
• Vendor Information Form 

Ohio Homeland Security Division

• Declaration of Material Assistance (DMA) Forms and Materials

Revolving Loan Fund 

• Economic Development/Housing Revolving Loan Fund Administrative Contact Form (pdf)
• Economic Development Revolving Loan Fund Administration Agreement (pdf)  Updated November 25, 2011
• Housing Revolving Loan Fund Administration Agreement (pdf)
• Revolving Loan Fund Grant/Loan Review Form (March 2010) (xls) Updated March 2010
• Program Income Policies and Procedures (September 2008) (pdf)

Uniform Relocation Act  

• OHCP Acquisition, Relocation and Demolition Questionnaire and Instructions (pdf)
• Residential Anti-Displacement and Relocation Assistance Plan (OHCP Acquisition/Relocation Form 1) (pdf)
• Sample Voluntary Acquisition Form - Third Party (OHCP Acquisition/Relocation Form 2) (pdf)
• Sample Donation and Waiver of Real Estate Appraisal (OHCP Acquisition/Relocation Form 3) (pdf)
• Sample Voluntary Acquisition Form - Public Entity (OHCP Acquisition/Relocation Form 4) (pdf)

Miscellaneous

• Fair Housing Contact Form (pdf)
• Standard Affirmation and Disclosure Form for Grants (pdf)