Welcome to the Division of Community Services/CSBG

Reports, Management Plans and Guides

The following forms are for use by Community Services Block Grant (CSBG) grantees in New York State. These and other forms were sent to CSBG grantees. These and other forms are also available to grantees on disk. Grantees should direct requests for disks to their assigned program analyst. To receive a hard copy version of the publications and forms listed below click on the "contact and ordering" link at the bottom of this page.

Acrobat PDF File Download Information


Monitoring Guide (pdf)

TRACS – Tool (public) (pdf)

TRACS – Tool (private) (pdf)

ACROS – Grantee Self-Assessment (public) (pdf)

ACROS – Grantee Self-Assessment (private) (pdf)

Expenditure Description Guide (pdf)

Management Plans

Seeking Comments on Proposal to Amend the FFY 2017 Model State Plan (CSBG)

Proposed Amendment to 2017 CSBG State Plan

Public Notice-Public Hearing on 2018 2019 CSBG Plan (pdf)

Public Notice-Comment Period on CSBG 2018 2019 Plan (pdf)


CSBG Management Plan FFY 2016-2017 (pdf)

CSBG Management Plan FFY 2015 (pdf)

CSBG Management Plan FFY 2013 & FFY 2014 (pdf)

AmeriCorps Onboarding Documents

2016-2017 Empire Corps Contract Quarterly Progress Report Blank


AmeriCorps Criminal Background Check Consent Form

AmeriCorps Criminal History Check Component Assessment

AmeriCorps Criminal History Check Requirements

AmeriCorps Enrollment Form

AmeriCorps GSCR Final

AmeriCorps Position Description Form



Childcare Option Form

Emergency Contact Information Form

Managing Members


Publicity Release Form

Sample Timesheet


AmeriCorps Webinars

AmeriCorps Reporting PPT

AmeriCorps VISTA Reporting PPT

Contract Submission PowerPoint

Minority and Women-owned Business Enterprises (MWBE)

The Department of State is required to implement the provisions of New York State Executive Law Article 15-A and 5 NYCRR Parts 142-144 (“MWBE Regulations”) for all State contracts. These requirements include equal employment opportunities for minority group members and women (“EEO”) and contracting opportunities for certified Minority and Women-owned Business Enterprises (“MWBEs”). All CSBG funded grantees are required to participate in MWBE reporting. For more information on NYS’s MWBE, forms and requirements, click on the links below:

MWBE Reporting


Work Force Employment Utilization (Form C)

MWBE Quarterly Report (Form F)

Grantee Resources

Work Plan/PPR (2017)

Board List Form/Authorized Signature Form (2017)

CSBG 2018 Contract Documents

2018 CSBG Additional Documents

Attachment B, Profile and Cert 2018 CSBG Contract 4517

Attachment C (Work Plan and PPR) 2018 CSBG Contract 052517

Attachment C (Work Plan and PPR) 2018 CSBG Contract RED FONT for Webinar