Cook County, IL · Cook County
ESG Drawdown Support Documentation (Summary) Emergency Shelter
Cook County Emergency Solutions Grants subrecipients use this form to summarize emergency shelter activity balances and request a drawdown for a reporting period.
At a glance
- Issued by
- City of Cook County · Cook County, Cook County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- cookcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This summary documents an Emergency Solutions Grants emergency shelter drawdown request and the related activity balances. It asks for the subrecipient name, project number, reporting period, submission date, approved budget, activity balance, requested drawdown amount, and balance after the draw. It also lists expense components and provides space for the preparer’s printed name, phone number, signature, and date.
Who needs it
Emergency Solutions Grants subrecipients requesting a drawdown for an emergency shelter project use this form to report activity balances and certify the information.
How to submit it
The form provides no submission address or method. Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer certifies the information is true and accurate, then signs and dates it.
How to submit this form
- 1
Download the Form
Download the Emergency Shelter ESG Drawdown Summary PDF.
- 2
Complete the Summary
Enter the subrecipient and project details, reporting period, activity balances, requested drawdown amounts, and preparer information.
- 3
Sign and Date
Certify that the information is true and accurate, then provide the preparer’s signature and date.
- 4
Submit to the County
Submit the completed form to the county office named on it; check the county website for current contact details.
Frequently asked questions
- What is the Emergency Shelter ESG Drawdown Summary?
- It is a Cook County Emergency Solutions Grants form for summarizing emergency shelter activity balances and requested drawdown amounts for a reporting period.
- What information does the form ask for?
- It asks for subrecipient and project details, the reporting period, approved budgets and activity balances, requested drawdown amounts, expense components, and the preparer’s contact and signature details.
- Do I need a notary for the Emergency Shelter ESG Drawdown Summary?
- No. This document is signed without a notary. The signer certifies the information is true and accurate, then signs and dates it.
- How do I submit the Emergency Shelter ESG Drawdown Summary?
- The form gives no submission address or method. Submit it to the county office named on the form, and check the county website for current contact details.