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ATTACHMENT D
PROGRESS REPORT FORM
DEP Agreement No.: S0717
Grantee Name:
Grantee Address:
Grantee's Grant Manager: I Telephone No.: I
Quarterly Reporting Period:
Project Number and Title:
Provide the following information for all tasks and deliverables identified in the Grant
Work Plan: a summary of project accomplishments to date; a comparison of actual
accomplishments to for the period; if goals were not met, provide reasons why; provide an
update on the estimated time for completion of the task and an explanation for any
anticipated delays and identify by task and attach copies of any deliverables being
submitted for the project for this reporting period (Deliverables should be labeled by task
and deliverable number as identified in the Grant Work Plan).
NOTE: The progress identified in this report should agree with the payment request. Use
as many pages as necessary to cover all tasks/deliverables in the Grant Work Plan.
The following format should be followed:
Task 1:
Progress for this reporting period:
Identify any delays or problems encountered:
Deliverables being submitted:
This report is submitted in accordance with the reporting requirements of DEP Agreement No.
S0717 and accurately reflects the activities and costs associated with the subject project.
Signature of Grantee's Grant Manager Date
DEP Agreement No. S07 l 7, Attachment D, Page I of I