FY2024-25 DCA Grant Contract Status Update Report
Deadline to submit: March 1, 2025
Grantee Name
*
Contract Agreement #
This will be in the form of C-123456; if contract is still pending, please enter Contract #TBD
Grant Amount
*
Contact Name
*
First Name
Last Name
Contact Title
Phone Number
*
-
Area Code
Phone Number
Contact Email
*
example@example.com
Check the following that apply:
New contact person
New contact phone number
New contact email address
Check the one that applies:
*
New physical address
Physical address is unchanged
Enter the new physical address here:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Check the one that applies:
*
New mailing address
Mailing address is unchanged.
New Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the "Services to be provided" language in your Appendix B still accurate for the type, number, and location(s) of your services?
*
Yes
No
An amendment to your contract may be necessary. Report the problem(s) that may affect your ability to finish your contractual services before the end of your contract term of June 30th.
Signature
*
Submit
Should be Empty: