Section 1 of 1 in this document
City of Charlotte
Housing Services
Invoice Submission Form
Agency Name
*
Agency Contact
First Name
*
Last Name
*
Email
*
Phone Number
Contract Number
Funding Source
CDBG
CDBG-CV
ESG
ESG-CV
HOME
HOME-ARP
HOPWA
HOPWA-CV
Local / Other
Housing Trust Fund
CDBG Activity
*
Choose One
Development / Construction
Emergency Relocation Program
Other
Development Name
Upload Invoice
Optional - Upload Additional Files
CDBG-CV Activity
*
Choose One
Acquisition / Development / Construction
Deposit Assistance
Mortgage Assistance
Other
Upload Invoice
Optional - Upload Additional Files
HOME Activity
*
Choose One
Acquisition / Development / Construction
TBRA
Month/Year of Invoice
*
Upload Invoice
Optional - Upload Additional Files
Upload Scorecard
Upload Client Packets
HOME-ARP Activity
*
Choose One
TBRA
Supportive Services
Acquisition / Development
Admin
Month/Year of Invoice
Upload Invoice
Upload Invoice
TBRA Scorecard
Client Packets
Upload Additional Supporting Documentation
Upload Additional Supporting Documentation
Program Name
*
ESG Activity
*
Choose One
Emergency Shelter
HMIS
Rapid Rehousing - Subsidy
Rapid Rehousing - Case Management
Prevention - Subsidy
Prevention - Case Management
Street Outreach
Month/Year of Subsidy on Invoice
*
Month/Year of Subsidy on Invoice
*
Upload ESG Invoice
Upload ESG Rapid Rehousing Scorecard
Upload ESG Prevention Scorecard
Upload Client Packets
Upload Quarterly HMIS Reports
Upload Quarterly HMIS Reports
Upload Client Packets
Upload Quarterly HMIS Reports
ESG-CV Activity
*
Choose One
Admin
Emergency Shelter
HMIS
Rapid Rehousing - Subsidy
Rapid Rehousing - Case Management
Prevention - Subsidy
Prevention - Case Management
Street Outreach
Month/Year of Subsidy on Invoice
*
Month/Year of Subsidy on Invoice
*
Upload ESG-CV Invoice
Upload ESG-CV Rapid Rehousing Scorecard
Upload Client Packets
Upload ESG-CV Prevention Scorecard
Upload Client Packets
Upload HOPWA Invoice
Upload HOPWA Scorecard
Upload HOPWA-CV Invoice
Upload HOPWA-CV Scorecard
Upload Invoice
Upload Scorecard
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