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Community Resources and Development

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and Services

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Human Services Home

Salt Lake County
Community Resources and Development
Government Center
2001 South State Street
Suite S2100
Salt Lake City, UT 84190

Phone: 801 468-3246
Fax: 801 468-3684
Email

W9 Form - Request for Taxpayer Identification Number

Substitute W9 Form - Salt Lake County Request Identification Number

Provider Code of Conduct

The purpose of this Provider Code of Conduct is to protect the clients of the Department of Human Services, to establish a consistent standard of conduct for the Providers who serve those clients, and to promote conduct that reflects respect for clients and others. (This policy incorporates the provisions of Rule 495-876.)

SSBG Forms: CDBG Forms: HARP Forms:

Social Service Block Grant (SSBG) Billing Form

(25k xls)

Community Development Block Grant (CDBG) Billing Form

(11k PDF)

Self Sufficiency Matrix

Social Service Block Grant (SSBG) Online Reporting Form CDBG (Public Service/Public Facility Improvement) Online Reporting Form Housing Matrix

Social Service Block Grant (SSBG) Online Reporting Form Instructions

(867k PDF)
CDBG Housing Online Reporting Form

Social Service Block Grant (SSBG) Online Reporting Form Instructions

(867k PDF)
Homeless Support/Emergency Shelter Grant Online Reporting Form

CDBG (Public Service/Public Facility Improvement) Online Reporting Form

Salt Lake County Government Center – 2001 South State Street Salt Lake City, UT 84190 – 801 468-3000