Please use this form to complete your quarterly Impact Funding Report.  Should you have any questions, please email juli@cuw.org.  

This form should be used to report the specific impact made as a result of using dollars from the County United Way, Inc. 2020-2021 Community Impact Investment.

NOTE: IT IS IMPORTANT THAT INDIVIDUALS AND/OR HOUSEHOLDS ARE NOT DUPLICATED.
NOTE: IT IS IMPORTANT THAT YOU INCLUDE ONLY IMPACT MADE BY CUW DOLLARS.