Get Form Hud 27053 A

Filling out the Form Hud 27053 A is an essential process for requesting grant payments under the Special Needs Assistance Program. This guide provides a step-by-step approach to help users complete the form accurately and efficiently online.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to acquire the form and open it in your online editor.
2. Enter the voucher number, which consists of the first three digits representing your program prefix followed by six digits assigned by the LOCCS/VRS.
3. In item 2, select the LOCCS Program Area by circling 'SNAP', 'HPAC', or 'IHP' as applicable to your grant request.
4. For item 3, indicate the period covered by this request, specifying the start and end dates.
5. In item 4, indicate the type of disbursement as 'partial' until the final request for grant funds is made.
6. Input the Voice Response Number in item 5, entering the full 10-digit number received from HUD.
7. Provide the name of the grantee organization in item 6, ensuring it matches the name on your Grant Agreement.
8. For item 6a, enter the Tax Identification Number of the grantee organization.
9. In item 8, include the grant number found in your Grant Agreement.
10. For item 9, specify the type of funds requested by entering amounts in the relevant Budget Line Item categories from lines 1010 to 1120.
11. Enter the total amount requested in item 10, rounding to the nearest dollar.
12. Provide the name and phone number of the authorized person who completed the call-in to VRS in item 11.
13. The person identified in item 11 must sign in item 12.
14. Finally, enter the date of the request in item 13, marking the date when you called in to request the funds.

Start filling out the Form Hud 27053 A online to ensure a smooth payment request process.