BCYF Late Submission Appeal Form
Please complete this form in full to request a review of your late submission request for the Monthly Financial Expense Report.
Organization Name
*
Grant Fund
*
Please Select
Grassroots Fund
Community Accountable Fund
President's Fund
President's Fund - Mini Grant
Aligned Grantmaking Fund
Assigned Program Officer
*
Please Select
Colleen Han
Harold Young
Jamie Boyle
Joi Parker
Teneisha Douglas
Whitney Palmer
Program Officer Email
example@example.com
Contact Information
Please enter your contact information below.
Name
*
First Name
Last Name
Title/Role
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Financial Expenses Information
Please enter the information for the late submissions you would like considered.
From which reports are the expenses you are requesting late submission? (select all that apply)
*
March 2026 Expense Report
April 2026 Expense Report
May 2026 Expense Report
Reason(s) for Late Submission
*
Unforeseen personal emergency
Severe weather or natural disaster
Technical difficulties (e.g., IT/system issues)
Staff turnover or unexpected absence
Other
Description of Extenuating Circumstances
*
Provide a detailed explanation of the circumstances that led to the late submission. Include specific details regarding the event, how it impacted your organization’s ability to meet the deadline, and any efforts taken to mitigate the delay.
0/150
Documentation
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Attach any relevant documentation provided above.
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Preventative Measures for Future Compliance
*
Outline any steps your organization plans to take to prevent future delays in submitting future Monthly Financial Expense Report. This will help BCYF understand your commitment to compliance and assist in identifying potential support areas.
0/200
Acknowledgement: Please check and acknowledge ALL of the options below.
*
I can ensure my organization has all required financial documentation compiled and ready for immediate submission upon approval.
I acknowledge that the information provided is accurate to the best of your knowledge.
I also acknowledge that repeated late submissions may impact the organization’s funding eligibility or lead to additional compliance requirements.
Signature
*
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