PROGRAM/PROJECT NAME] CLIENT INCOME CERTIFICATION FORMCDBG Grant Agreement • September 10th, 2021
Contract Type FiledSeptember 10th, 2021The [UGLG Name] [CDBG Project/Program Name] is funded by the Community Development Block Grant (CDBG) Program. For the [UGLG Name] to qualify for this funding, the information requested below must be collected for all program clients. This information is strictly confidential and only reported to the required funding and regulating entities for program qualification purposes. Individual/family personal identifying information is not released to the public.