Form Hud-27053 - Instructions printable pdf download

Instructions for the Preparation and Submission of form HUD-27053, Request Voucher for Grant Payment

1. Enter a (9) digit two part number. Part 1 is the (3) digit prefix to

6. Line 1: Enter the 10-digit VRS Number of the first project/grant for

your program. (If you do not know your (3) digit program prefix,

which funds are being requested. The first five digits of this

contact your Program/Grant Officer). Part 2, the remaining (6)

number identify the grantee/recipient; the second five identify the

digits, will be assigned by LOCCS/VRS during the telephone call.

specific project/grant. The first five digits should always be the

The entire (9) digit number will have to be entered prior to ending

same for a grantee/recipient. The second five digits should run

the call.

consecutively for succeeding projects/grants within the program.

Next, enter the HUD project/grant number for the project. This

2. This block contains a maximum of 4-digit (xxxx) alpha/numeric

entry is for confirmation purposes only and will not be entered into

program area identifier as stated in block 5a of the HUD-27054,

LOCCS-VRS through the touch-tone pad. Instead, when the VRS

LOCCS Voice Response Access Authorization Form.

number is keyed in, the VRS simulated voice will speak the HUD

project/grant number for the caller to ensure the correct VRS

3. Enter the period covered by this request.

number was keyed. Finally, enter the amount requested for that

4. Enter the recipient organization's name as stated on the grant

particular project/grant. Dollars should be entered tro the left of

agreement.

the asterisk (*) and cents to its right.

4a. Recipient Organization's Employer Identification Number (EIN)

Lines 2 through 10: List any other project grants in the same

is the nine(9) digit number that is also known as the Tax

HUD Program Area for which funds are to be requested. The total

Identification Number (TIN) in LOCCS-VRS and the Claim or

amount requested is entered in the lower right hand corner of

Payroll ID Number on the SF-1199A.

Block 6.

4b. Enter recipient organization's mailing address.

7. Enter the authorizing signature and date of signature.

The

5. Enter the current balance of cash on hand.

authorizing signatory in Block 7 can not be the same person(s)

designated in Block 3 of the HUD-27054, LOCCS Voice Re-

sponse Access Authorization Form.

Retain this form in your records for audit purposes

form HUD-27053 (3/93)

Form Hud-27053 - Instructions