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Edit Organization Information

Monitoring Details
Organization Name		Short Name
Monitoring Due for	Reason
Last Monitoring & Type	Type
Last On-Site Monitoring
Risk Assessment	Risk Assessed		Critical Issue
Planned Monitoring	Scheduled Date
Monitoring Completed	Type
Letter/Report Sent to Agency
Action Required
Response Type/Received Date
Response Rejected/Date
Response Accepted

Organization Details
Organization Name	* CSBG Short Name: WAP Short Name:
Address	*
Address 2
City * State * Zip * - Zip Extension
Counties
Web Address	Accepted formats: www.website.com or website.com
Organization Phone	* - Must match the format (000) 000-0000. Extension is optional.
Organization Type
CSBG - Number of Board Members Established in Bylaws	Board Count * Public Sector: * Private Sector: * Low Income Sector: * The left box cannot be less than 12 or greater than 51. The sector boxes must sum to the value in the left box.
CSBG Contract Number
CSBG Contract Start/End Dates	to
SAP	Six digit number
CRISIS Contact Name CRISIS Phone
CRISIS Email
Type(s) of Organization Work *
Employer Identification Number	* Numbers and hyphens only. format: 00-0000000
UEI	Used for exporting to XMLs and SmartForms as of 2023 Report
ISID	Number only - should match the IS Access Database ID for this agency - pre 2018 Report (deprecated).
First Report	The first report this agency was required to submit (unset means all reports were submitted)
Last Report	The last report submitted by the agency (unset means the agency is still reporting)
NASCSP Agency Name (exports)	The name required by NASCSP when exporting to XMLs or SmartForms
Logo	Logos must meet the following specifications: No larger than 500 KB One of the following image types: .jpeg / .jpg .png (recommended) .gif .svg
CSBG Program Specialist
Backup Program Specialist
WAP Monitor
Backup WAP Monitor 1
Backup WAP Monitor 2
Agency Valid e-mail Domains	(if multiple must separate with semi-colon) Domain Example pa.gov; agency.com

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