Follow the steps to successfully complete your request for drawdown

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Block 1, enter the name of the local government grant recipient, along with the name and phone number of the individual preparing the drawdown request.
3. In Block 2, input the grant award number and the drawdown request number. Ensure that drawdowns are numbered consecutively, starting with Number 1, and check the 'yes' box for the final drawdown if applicable.
4. In Block 3, Item A, enter the activity numbers for all approved activities as listed in the DCA Budget Summary. This includes all approved activities, even the contingency activity.
5. In Item B, enter the budget amount for all approved activities as per the DCA Budget Summary. Once these numbers are entered, they should remain unchanged.
6. For Item C, enter the total amount of prior budget adjustments that reflect your current revised budget. New budget adjustments should not be entered on the current draw.
7. In Item D, calculate the budget revised amount, which is the total of Item C (positive or negative) added to Item B.
8. Item E should reflect the total funds drawn down to date for each activity. The budget balance prior to this draw should also be reflected in this section.
9. For Item F, enter the amount of drawdown requested for each activity.
10. In Item G, ensure that the budget balance after this draw reflects the amount requested subtracted from the total drawn down to date.
11. In Block 4, confirm that an adequate balance of funds remains when determining the amount requested. If requesting a draw in excess of the activity balance, indicate from which activity number you would like funds transferred.
12. In Block 5, indicate the amount of program income received since your last drawdown. If none, leave the space blank and certify accordingly.
13. In Block 6, provide all authorized signatures, including dates and titles of authorized signatories on the original drawdown form.
14. Once all sections are completed, save changes, download, print, or share the form as needed.

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