Cook County, IL · Cook County
ESG Drawdown Support Documentation (Summary) – Homelessness Prevention
Cook County ESG subrecipients use this form to summarize requested drawdown amounts and activity balances for homelessness prevention services.
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 form summarizes ESG homelessness prevention activity, including approved budgets, activity balances, requested drawdown amounts, and balances after the draw. It also records the reporting period, submission date, subrecipient, project number, and amounts for listed service components. The preparer prints their name, provides a phone number, certifies the information as true and accurate, and signs and dates the form.
Who needs it
Cook County ESG subrecipients preparing a drawdown summary for homelessness prevention activity use this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the preparer certifies the information is true and accurate, then signs and dates the form.
How to submit this form
- 1
Download the Form
Download the ESG drawdown summary PDF for homelessness prevention.
- 2
Complete the Summary
Enter the subrecipient, project number, reporting period, activity balances, requested drawdown amounts, and preparer details.
- 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 department named on the form; check the county website for current contact details.
Frequently asked questions
- What is the ESG Homelessness Prevention Drawdown Summary?
- It is a Cook County form for summarizing homelessness prevention activity, approved budgets, activity balances, and requested drawdown amounts for an ESG project and reporting period.
- Who completes this drawdown summary?
- The form includes fields for the subrecipient name, ESG project number, reporting period, preparer’s name and phone number, certification, signature, and date.
- Do I need a notary for the ESG Homelessness Prevention Drawdown Summary?
- No. The form has no notary block; the preparer certifies the information is true and accurate, then signs and dates it.
- How do I submit the ESG Homelessness Prevention Drawdown Summary?
- Submit it to the county department named on the form; check the county website for current contact details.