Local Grantee Forms

The following provides descriptions of and links to blank copies of several important forms to be used for the administration of a MEPI local grant. These forms are for grantees who have already received a MEPI grant.

Direct Deposit Sign-up Form

The Direct Deposit Sign-Up form enables MEPI to send payments by “electronic funds transfer” directly into a grant recipient’s bank account.   MEPI Local Grant recipients should complete the form before the first payment can be made, sign and date it and send it to the MEPI Regional Office.  Please contact the MEPI Regional Office if you have questions about completing the form. 

Request for Advance or Reimbursement Form

MEPI Local Grant recipients should use the Request for Advance or Reimbursement form to request a payment--either an advance or a reimbursement--from their grants.  MEPI grant recipients are required to complete this form to receive their first payment and then again each time they request another payment.  Once completed, grant recipients should sign and date the form and submit it  to their Project Officer for approval.  The Project officer will then forward the completed form to the MEPI Regional Office for processing.  Please contact your Project Officer if you have questions about completing the form. 

Financial Report:  Actual Expenditures Form

MEPI Local Grant recipients should use the Actual Expenditures form for required reporting of their actual costs incurred under the grant during a given time period. The dates that reports are due to be submitted to MEPI are included under the “Performance and Financial Reports” section of the terms and conditions of the recipient’s grant.  Please contact your Project Officer or the MEPO Regional Office if you have questions about or need assistance with completing the form.nce Report (Appendix 6)

MEPI Performance Report

MEPI Local Grant recipients should use the MEPI Performance Report for required reporting on their progress in implementing their grants. The dates that reports are due to be submitted to MEPI are included under the “Performance and Financial Reports” section of the terms and conditions of the recipient’s grant.  Please contact your Project Officer or the MEPI Regional Office if you have questions about or need assistance with completing the form.