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jQuery UI Datepicker - Default functionality
Online Submission & Single Audit Response Form
You can use this form to respond to the Single Audit Determination Letter and/or to submit the Single Audit Reporting Package or Financial Statements.
Fields with asterisk (*) are required.
*Entity TIN:
*Single Audit FY
:
2016
2017
2018
2019
2020
2021
2022
2023
2024
Other Single Audit FY:
*I am here to
Respond to the Single Audit Determination Letter (Completing Determination Form)
Submit the Single Audit Reporting Package or Financial Statements (Determination Form Completed)
Entity Details
*Legal Entity Name:
Entity Contact Title:
DBA Name:
*Entity Contact First Name:
*Entity Contact Last Name:
*
Entity Contact Email
:
*Entity Contact Phone
:
Extension
:
*
Entity Mailing Address1
:
Entity Mailing Address2
:
*
Entity Mailing City
:
*
Entity Mailing State
:
*
Entity Mailing Zip Code
:
*
Entity's FY End Date
:
(mm/dd/yyyy)
Determination Form Information
Total State Funds Expended, including non-HHS expenditures:
Total Federal Funds Expended, including non-HHS expenditures:
*
Single Audit Required?
Yes
No
Entities are required to submit a Single Audit reporting package within 30 calendar days after the entity receives the audit results or 9 months after the end of the audit period, whichever is earlier. Contractors must comply with funding agency requirements and failure to complete single audit requirements may result in application of sanctions by the funding agencies. If you have any questions, please email to Single_Audit_Report@hhs.texas.gov.
Grantee Notes
Grantee Notes
(Max 500 chars)
Please upload any attachments/supporting documentation here:
(The file size of each document must be less than 10MB, and the file name should be less than 100 characters.)
*Document Type
:
Financial Statements
Other
Single Audit Reporting Package
Document
:
*Document Type
:
Financial Statements
Other
Single Audit Reporting Package
Document
:
*Document Type
:
Financial Statements
Other
Single Audit Reporting Package
Document
:
*Document Type
:
Financial Statements
Other
Single Audit Reporting Package
Document
:
*Document Type
:
Financial Statements
Other
Single Audit Reporting Package
Document
:
