UWNNS EAF Forms

2020 Funded Agency Forms

The following are forms to be used by agencies funded through the UWNNS Emergency Assistance Fund:

1. EAF Manual

2. Agency Certification and Reporting Forms: 

Agency Certification

Patriot Act & W-9

Monthly Report

Interim Report & Second Payment Request

Final Report - Updated 8/21/20

3. Documentation Forms by Category:

Served Meals

Documentation - Per Meal Schedule

Sample Documentation

Other Food

Documentation - Direct Cost

Sample Documentation

Food Voucher Form

Mass Shelter

Documentation - Daily Schedule

Sample Documentation

Other Shelter

Documentation for Other Shelter

Sample Documentation

Loss of Income Form

Rent Assistance

Documentation for Rent Assistance

Sample Documentation

Loss of Income Form

Rent Assistance Form

Utilities Assistance

Documentation for Utilities Assistance

Sample Documentation

Loss of Income Form

Utilities Verfication Form

If you have any questions, please contact us at communityimpact@uwnns.org.