UWNNS EAF Forms

2020 Funded Agency Forms

The following are forms to be used ONLY by agencies funded through the UWNNS Emergency Assistance Fund in Northern Nevada. 

 Forms should not be downloaded or submitted by individuals or landlords. 

 

1. EAF Manual

 

2. Agency Certification and Reporting Forms: 

Agency Certification

Patriot Act & W-9

Monthly Report

Interim Report & Second Payment Request

Final Report - Pending File

 

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  - NOT TO BE USED BY INDIVIDUALS OR LANDLORDS

 

Utilities Assistance

Documentation for Utilities Assistance

Sample Documentation

Loss of Income Form

Utilities Verfication Form

 

 No forms on this page should be downloaded or submitted by individuals or landlords. 

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