Required Contract Documents
The Chicago Department of Family and Support Services (DFSS) is providing the following templates online for use by our Contracted Delegate Agencies and staff as a resource to help them complete the contract process.
Contract Documentation Table
Please use the table below to identify the documents required to process your contract. Complete and return the documents and certifications to your Program Manager and Contract Liaison.
Documents may be scanned and emailed*. *Budgets must be submitted in Excel.
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Document Name |
Document Description |
Form/Certification Link |
Requirements for Original Award |
Requirements for Release of Funds Under an Existing Award (if applicable) |
Budget Revisions |
Requirements for Amendments to Existing Contracts (if applicable) |
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Direct Deposit Form |
The City of Chicago announces the Direct Deposit Vendor Payment Program. This program utilizes electronic fund transfers to provide a timely, accurate, and convenient method of depositing funds owed to vendors.
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One Drive: |
✶ |
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Insurance Certification |
Insurance requirements: Please print form, complete, sign, and return. A new form is needed when insurance expires. The city will not pay vouchers if insurance on file has expired. |
✶ |
✶ |
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✶ |
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Budget Form |
✶ |
✶ |
✶ |
✶ |
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Scope of Services or Work Plan |
Please contact your DFSS program manager for Scope and/or Work Plan requirements. Scopes must be signed by both parties |
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✶ |
✶ |
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✶ |
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Certificate of Good Standing with the IRS |
If your organization is not found on this website, contact local IRS office to check your IRS status and ensure your organization is included. Please print and submit certificate. |
✶ |
✶ |
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✶ |
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CCR or Sam Certificate |
Please access the link. If necessary, please contact and coordinate with website administrator/Service Desk URL directly (http://www.FSD.gov) to check your SAM entity registration status and ensure your organization is included in this website. Please print and submit certification. |
✶ |
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Certificate of Good Standing with the State of Illinois |
Please provide a copy of State Good Standing report. The state link and a sample of the certification required are attached. Please print and submit certification |
✶ |
✶ |
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✶ |
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Economic Disclosure Statement with City (EDS) |
Please provide a copy of the EDS statement. The link to request a copy and a sample of the certification required are attached. Please print and submit certification. |
✶ |
✶ |
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✶ |
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Delegate Agency Business Information Form |
Please complete this form as it relates to your grant. The form is pdf fillable and can be emailed to your DFSS contact. *Must be updated with change of officers. |
✶ |
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Terms and Conditions |
List of all Delegate Agency Contracts from 2022-2025 |
2022 - 2025 Terms and Conditions
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