FY27 Love Your City Second Payment Documentation Form
This form is for Love Your City award recipients who are requesting their second 30% payment. Before the second payment can be released, please upload receipts, invoices, or other backup showing how the first 30% payment was spent or committed for approved event or project costs. Submitting this form does not automatically release payment. City staff will review the information and may follow up if anything else is needed.
Recipient Information
Organization Name
*
Contact Person
*
Contact Title
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event or Project Name
*
Is this for an Event or a Project?
*
Please Select
Event
Project
Total Love Your City Award Amount
*
First 30% Payment Amount Received
*
Date First Payment Was Received
-
Month
-
Day
Year
Use of First 30% Payment
Has the First 30% Payment Been Spent or Committed for Approved Event or Project Costs?
*
Yes, fully spent
Yes, committed but not fully paid yet
No
Brief Explanation of How the First 30% Payment Was Used
Did These Expenses Match the Approved Application and Budget?
*
Yes
No
Mostly, but some items changed
Explain Any Changes from the Approved Budget
Were Any Funds Used for Costs Not Included in the Approved Application?
*
Yes
No
If Yes, Please Explain Any Costs Not Included in the Approved Application
Expense Summary
List of Expenses
*
Total Expenses Documented
*
First 30% Payment Received
*
Difference (if any)
Upload Backup
Receipts
Upload a File
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of
Invoices
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of
Proof of Payment (if available)
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Other Supporting Documents
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of
Certification and Signature
I certify that the expenses listed are related to the approved Love Your City event or project.
*
Yes
I certify that the information and backup submitted are accurate to the best of my knowledge.
*
Yes
I understand that the City may request additional documentation before releasing the second 30% payment
*
Yes
I understand that funds not used for approved event or project costs may need to be returned to the City
*
Yes
Authorized Representative Name
*
Title
*
Organization
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
I certify that the information submitted with this form shows expenses paid or committed for approved Love Your City event or project costs, and that the information is accurate to the best of my knowledge.
*
Yes
Submit
Submit
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