HomeMy WebLinkAbout20230267.tiffTo: Jan Warwick <jwarwick@weld.gov>; Cynthia Martin <cmartin@weld.gov>
Cc: Chloe White <cwhite@weld.gov>; Mariah Higgins <mhiggins@weld.gov>
Subject: RE: May 2023 CTB Temp Status Update
Hi Jan,
Based on Don Sandoval's experience with this process, HUD will not be sending an executed copy back to us. We know
HUD has authorized this IDIS request because I received access on 3/15/2023. Please see the attached email string that
confirms I received access and consider this agreement to be executed.
Thank you,
Elizabeth
From: Jan Warwick <.warwick@weld.gov>
Sent: Wednesday, May 31, 2023 2:48 PM
To: Elizabeth Relford <erelford@weld.gov>; Cynthia Martin <cmartin@weld.gov>
Cc: Chloe White <cwhite@weld.gov>; Mariah Higgins <mhiggins@weld.gov>
Subject: May 2023 CTB Temp Status Update
Good afternoon,
This email serves as a status update for documents from the Commissioner's Agenda that are pending final
signatures from various sources. When final signatures are obtained, please remember to send a copy to the
Clerk to the Board's Office to ensure the Commissioners' final Resolution is signed, the Resolution is
distributed, and the complete document is finalized. The query included items pending as of today's date, so
there are items from recent Agendas that understandably may not have final signatures yet.
1. #20230267, IDIS OnLine Access Request, Weld County, obtain authorized signature of HUD Field
Office Official, see page 9 of attached PDF.
Cynthia, I vaguely recall you stating this signature would likely not be obtainable. If that response can be
added to this request, we can close our file and complete the storage of the document. If I am remiss in my
recollection, please advise.
Thank you,
Jan Warwick
Deputy Clerk to the Board
Weld County
1150 O Street
Greeley, CO 80631
tel.. 970-400-4217
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended
o nly for the person or entity to which it is addressed and may contain information that is privileged, confidential
o r otherwise protected from disclosure. If you have received this communication in error, please immediately
n otify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the
2
2023 -O267
F1 oo7g
OMB Approval No. 2506-0171 exp 07/31/2025
IDIS OnLine Access Request
U.S. Department of Housing and Urban Development
Office of Community Planning and Development
GRANTEE & REQUESTOR INFORMATION
Privacy Act Statement: Public Law 97-255, Financial Integrity Act, 31 U.S.C. 3512, authorizes
the Department of Housing and Urban Development (HUD) to collect all the information
which will be used by HUD to protect disbursement data from fraudulent actions. The
purpose of the data is to safeguard the Integrated Disbursement and Information System
(IDIS) from unauthorized access. The data are used to ensure that individuals who no
longer require access to IDIS have their access capability promptly deleted. This
information will not be otherwise disclosed or released outride of HUD, except as
permitted or required by law. Failure to provide the information requested on the form
may delay the processing of your approval for access to IDIS.
Public Reporting burden for this information collection is estimated to average 30 minutes
including time for collecting, reviewing, and reporting data. HUD may not collect this
information, and respondents are not required to complete this form, unless it displays a
currently valid OMB Control Number.
This section of the form is to be completed by the requestor. Complete all information accurately and clearly in
its entirety to prevent delays in processing. Required fields are:
1. Request Type
2. Five -Digit Pin
3. Requestor Name (Last, First, MI)
4. Office Email Address
5. Office Address
6. Office Phone Number/Ext.
7. Grantee Name in IDIS
8. Grantee Type.
9. Please Mark All Necessary Functions and Programs (NOTE: If no Functions or Programs are requested, a
new requestor will be given rights to view activities and generate reports.)
10. Approval of State Subgrantee Request if applicable
11. Modules
Requestor must review and acknowledge IDIS Online Rules of Behavior by signing the User Acknowledgement
and Certification (name, signature, and date).
GRANTEE APPROVING OFFICIAL
This section of the form is to be completed by the grantee approving official. Complete all information
accurately and clearly in its entirety to prevent delays in processing. Required fields are:
1. Approving Official's Name
2. Title
3. Office Phone/Ext
4. Office Address (street, city, state, zip)
5. Signature
6. Date
Grantee Approving Official must sign, "I authorize the person above to have access to IDIS functions
checked".
Gam- G eG (e.e/G/9
1/.2,3/.2 6
Hgerdo-
01/23/Z3
2023-0267
Fl 00
Notary
This section of the form is to be completed by an authorized notary.
The Approving Official's signature must be notarized to verify the identity of the individual who signed this
document using the appropriate notary certificate of the state, territory or insular area. Once completed, attach
the completed notary certificate to this form and send to your local HUD CPD Field Office. If your state, territory
or insular area does not require a notary certificate, use the space below for notary stamp.
HUD FIELD OFFICES ONLY
CPD field office staff must verify:
1. Ensure the requestor entered all required information accurately.
2. Ensure the grantee approving official information is completed and signed.
3. Ensure the form is notarized properly.
Forms will not be processed without the Field Office Approval (CPD Director or Designee) signature.
Once approved, scan and email the notarized form to IDISUseridRequests@hud.gov.
Subject of all emails must include:
1. Grantee Name in IDIS
2. Requestor Name
3. CPD Field Office
Forms received directly from grantees to the IDISUseridRequests@hud.gov mailbox will not be processed.
Authorized
Functions
OMB Approval No. 2506-0171 eup 07/31/2025
IDIS Online Access Request
U.S. Department of Housing and Urban Development
Office of Community Planning and Development
GRANTEE & REQUESTOR INFORMATION
REQUEST TYPE
currently valid OMB Control Number,
Role to be Performed by Headquarters Role to be Performed by Field or Local IDIS Administrator
New Request ❑
Renew Lapsed ID P.
Change Name
Add Access for Another Grantee Li
Please create a five digit pin that will be used for password resets. Elm En Eg
Requestor's Name (Last, First, MI):
__Flfords Elizabeth.
Office Address:
1111 H Street, Greeley, CO 80631
Grantee Name in IDIS:
„Weld _c_o,untv
Please Mark Ali Necessary Functions & Programs
Set Up Activity
Approve Drawdown[�
Drop from IDIS ❑
Change Function or Program Area ❑
Office E-mail Address:
ereiroragweia.gov
Office Phone: ext.:
y t U-4UU-i t 4tQ
GRANTEE TYPE
City ❑ County VI State ❑Non -Profit ❑Sub Grantee* Ej
Request Drawdown
Local IDIS Administrator
CDBG HOME ❑ ESG ❑ HOPWA ❑
HESG [ J HOPWA-C ❑ HTF
Other:
*Approval of State Sub Grantee Request - CPD State Coordinator or State Official name, signature and date:
Name: Signature: Date:
tlizaDetn Keirora
todules
Con Plan:
Caper:
Create/Edit/Submit Edit ❑
Create/Edit/Submit rill Edit ❑
View ❑
View ❑
IBIS Online Rules of Behavior
September 14, 2015
Introduction
This Rules of Behavior (RoB) procedure was developed as a guide to ensure that all users of IDIS Online are made aware of their security
responsibilities before accessing IDIS Online. The RoB defines responsibilities and procedures for secure use of IDIS Online. By reading
and acknowledging these rules, users accept the responsibility to protect IDIS Online and data. Users are accountable for their actions
and the requirements to protect IDIS Online data and equipment from both malicious and accidental loss and damage. These rules
clearly delineate the responsibilities of and expectations for all individuals with access to IDIS Online. Non-compliance with these rules will
be enforced through sanctions commensurate with the level of infraction.
Responsibilities
All authorized users who have access to IDIS Online are required to read, acknowledge understanding, and sign the RoB before accessing IDIS
Online and associated data. This acknowledgement must be completed annually thereafter.
By agreeing to and signing these rules, the user signifies:
1. Understanding that access is given only to IDIS Online to which the user requires access in the performance of their official duties
and the user will not attempt to access systems they are not authorized to access.
ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED.
PAIR 1of3
2. Understanding of the IDIS Online Rules of Behavior (IDIS RoB) security requirements.
3. Acknowledgement that disciplinary action may be taken based on violation of the IDIS RoB.
The IDIS Online System Security Administrator (SSA) verifies that the users who require access to IDIS Online have read and
accepted (via signature on the acceptance form) this IDIS RoB.
Other Policies and Procedures
This IDIS Rob is intended to enhance and further define the specific rules each user must follow while accessing IDIS Online. The rules are
consistent with the policy and procedures described in the following directives:
Revision of OMB Circular No. A-130, Transmittal No. 3, Appendix i htt www.whitehouse. ov/omb/circulars a130 a130pre
III, "Security of Federal Automated Information Resources."
Privacy Act of 1974, as amended, 5 U.S.C. § 552a http://www.justice.gov/opcliprivacy-act-1974
18 USC 1030(a)4, "Accessing to Defraud and Obtain Value
NIST Special Publication 800-18 - Revision 1, Guide for
Developing Security Plans for Information Technology Systems,
February 2006
http://www.gpo.gov/fdsys/granu le/USCODE-2010-titlel8/USCODE-
2010-titlel8-partl-chap47-sec1030/content-deta i I.html
http://csrc.nist.gov/publications/n istpubs/800-18-Revl/sp800-18-
Revl-final.pdf
HUD Information Technology Security Policy Handbook I http://portal.hud.gov/hudportal/HUD?src4program offices/admin
istration/hudcli • s/handbooks/cio/2400.25
Application Rules
Because written guidance cannot cover every contingency, you are asked to go beyond the stated rules, using your best judgment
and highest ethical standards to guide your actions. These rules are based on Federal laws and regulations and HUD policies. As
such there are consequences for non-compliance. The following IDIS RoB is the minimum rules for users who are requesting an IDIS
Online user account:
1. You are aware of the existence of and penalty for violating 18 USC 1030 and abide by:
a. The elements of 18 USC 1030)a)4, "Accessing to Defraud and Obtain Value" are:
i. Knowingly accessing a protected computer without or in excess of authorization;
ii. With intent to defraud;
iii. Access furthered the intended fraud; and
iv. Obtain anything of value
b. The penalty for violating this statute includes a fine and imprisonment of not more than ten years, or both.
2. You must adhere to HUD's policy requiring a separation of duties between the requestor and approver for financial
transactions:
a. Effective December 14, 2001, the same person can no longer both request and approve a given draw down in IDIS
Online.
b. While individual persons may have the power to both request and approve draws, this rule prevents an individual
from approving a draw that he or she created. ISIS Online requires two people to be involved in every draw down
of funds.
3. Currently, the IDIS Online Local Administrator initially defines what a person can do in IDIS Online, carrying out the
wishes of each grantee's authorizing official — mayor, grant holder, CEO, CFO, etc. Some users have full rights, while
others have limited rights of various kinds. You understand that you are given access only to IDIS Online to which you
require access in the performance of your official duties and that you will not attempt to access systems that you are not
authorized to access.
4. You are prohibited from misusing IDIS Online, i.e., exceeding your authority. Your level of access to IDIS Online is limited to
ensure your access is not more than necessary to perform your legitimate tasks or assigned duties. If you believe you are
being granted access that you should not have, you must immediately notify the IDIS Online SSA via email at
IdisUseridRequests@hud.gov.
5. You must immediately notify your Supervisor, CPD Field Office Administrator, and/or your Local Grantee Administrator if
your access/privilege are no longer required, termination, promotion, and transferred.
6. You must maintain the confidentiality of your authentication credentials such as your password. Do not reveal your
authentication credentials to anyone and do not record passwords on paper or in electronic form.
7. You must report all security incidents or suspected incidents (e.g., lost passwords, improper or suspicious acts) related to
IDIS Online to the HUD Computer Incident Response Team at CIRT@hud.gpy.
8. Your IDIS Online password expires every 90 days, so ensure you access IDIS at least once a month. Users who do not use
IDIS within a 90 day period will find their accounts are de -activated.
ALL PREVIOUS VERISONS OF THIS FORM WALL NOT BE ACCEPTED OR PROCESSED. HUD FORM 27055 10/2020)
Notary
This section of the form is to be completed by an authorized notary.
The Approving Official's signature must be notarized to verify the identity of the individual who signed this
document using the appropriate notary certificate of the state, territory or insular area. Once completed, attach
the completed notary certificate to this form and send to your local HUD CPD Field Office. If your state, territory
or insular area does not require a notary certificate, use the space below for notary stamp.
HUD FIELD OFFICES ONLY
CPO field office staff must verify:
1. Ensure the requestor entered all required information accurately.
2. Ensure the grantee approving official information is completed and signed.
3. Ensure the form is notarized properly.
Forms will not be processed without the Field Office Approval (CPD Director or Designee) signature.
Once approved, scan and email the notarized form to IDISUseridRequestsff hud.gov.
Subject of all emails must include:
1. Grantee Name in IDIS
2. Requestor Name
3. CPD Field Office
Forms received directly from grantees to the IDISUseridRequests@hud.gov mailbox will not be processed.
OMR Approval no. 2506.0171 cap 07/31/2025
IDIS Online Access Request
U.S. Department of Housing and Urban Development
Office of Community Planning and Development
GRANTEE & REQUESTOR INFORMATION
Privary Act Statwnenl: Publk taw 97-255, Finan[pl Integrity Pct, 31 U.S.C. 3512, authorizes
Me Department of Housing and llrben Development (HUO) m rolled ali the information
whkh will be used ;HUD to protect disbursement data from fraudulent actions. The
purpose of the data is to safeguard the Integreted Dishursement and Infdmatlon System
(IDIS) from unauthorized atcess. The dam are used to enstec that individual: cola Sr
re
require access to 1015 have their access npabllity promptly deleted. This
information will not be otherwise dtsecifr or released outside of HUD, except as
permitted or required by law. Failure to provide the information requested on the form
may delay the processing of your approval for access to IDIS.
Pubik Reporting burden for this information collection is estimated to average 30 minutes
including time for collecting, reviewing, and reporting data. HUD may not collect this
information, and respondents are not required to complete this form, unless it displays a
currently valid OMR Control Number,
This section of the form is to be completed by the requestor. Complete all information accurately and clearly in
its entirety to prevent delays in processing. Required fields are:
1. Request Type
2. Five -Digit Pin
3. Requestor Name (Last, First, MI)
4. Office Email Address
5. Office Address
6. Office Phone Number/Ext.
7. Grantee Name in IDIS
8. Grantee Type.
9. Please Mark All Necessary Functions and Programs (NOTE: If no Functions or Programs are requested, a
new requestor will be given rights to view activities and generate reports.)
10. Approval of State Subgrantee Request if applicable
11. Modules
Requestor must review and acknowledge IDIS Online Rules of Behavior by signing the User Acknowledgement
and Certification (name, signature, and date).
GRANTEE APPROVING OFFICIAL
This section of the form is to be completed by the grantee approving official. Complete all information
accurately and clearly in its entirety to prevent delays in processing. Required fields are:
1. Approving Official's Name
2. Title
3. Office Phone/Ext
4. Office Address (street, city, state, zip)
5. Signature
6. Date
Grantee Approving Official must sign, "I authorize the person above to have access to IDIS functions
checked".
Authorized
Functions
OMB Approval No. 250.171 exp 07/31/2025
IDIS Online Access Request
U.S. Department of Housing and Urban Development
Office of Community Planning and Development
GRANTEE & REQUESTOR INFORMATION
REQUEST TYPE
Privacy Act Statement: Public Law 97-255, Financial Integrity Act, 31 U.S.C. 3512, authorizes
the Department of Housing and Urban Development (HUD) to collect all the information
which will be used by HUD to protect disbursement data from fraudulent actions. The
purpose of the data is to safeguard the Integrated Disbursement and Information System
(IDIS) from unauthorized access. The data are used to ensure that individuals who no longe
require access to =ILO=
their access capability promptly deleted. This information will
not be otherwise disclosed or released outside of HUD, except as permitted or required by
currently valid OMB Control Number.
Role to be Performed by Headquarters '.. Role to be Performed by Field or Local IDIS Administrator
New Request ❑
Renew Lapsed ID ❑
Change Name
Add Access for Another Grantee ❑
Please create a five digit pin that will be used for password resets.®® El El M
Requestor's Name (Last, First, MI):
Relford. Elizabeth
Office Address:
1111 H Street, Greeley, CO 80631
Grantee Name in IDIS:
Weld County
Please Mark All Necessary Functions & Programs
Set Up Activity IZ
Approve Drawdown lZ
Drop from IDIS ❑
Change Function or Program Area ❑
Office E-mail Address:
ereiroratweia.gov
Office Phone: ext.:
y / U-4UU-J 140
GRANTEE TYPE
City ❑ County State ❑Non -Profit ['Sub Grantee*
Request Drawdown
Local IDIS Administrator
CDBG HOME ❑ ESG ❑ HOPWA ❑
HESG ❑ HOPWA-C ❑ HTF Other:
If other, please specify name of program
*Approval of State Sub Grantee Request - CPD State Coordinator or State Official name, signature and date:
Name: Signature: Date:
Program
reas
odules
t=iizaoetn r-ceirora
Con Plan: Create/Edit/Submit Ql Edit ❑
Caper: Create/Edit/Submit Edit ❑
View ❑
View ❑
IDIS Online Rules of Behavior
September 14, 2015
Introduction
This Rules of Behavior (RoB) procedure was developed as a guide to ensure that all users of IDIS Online are made aware of their security
responsibilities before accessing IDIS Online. The RoB defines responsibilities and procedures for secure use of IDIS Online. By reading
and acknowledging these rules, users accept the responsibility to protect IDIS Online and data. Users are accountable for their actions
and the requirements to protect IDIS Online data and equipment from both malicious and accidental loss and damage. These rules
clearly delineate the responsibilities of and expectations for all individuals with access to IDIS Online. Non-compliance with these rules will
be enforced through sanctions commensurate with the level of infraction.
Responsibilities
All authorized users who have access to IDIS Online are required to read, acknowledge understanding, and sign the RoB before accessing IDIS
Online and associated data. This acknowledgement must be completed annually thereafter.
By agreeing to and signing these rules, the user signifies:
1. Understanding that access is given only to IDIS Online to which the user requires access in the performance of their official duties
and the user will not attempt to access systems they are not authorized to access.
ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED. HUD FORM 27055110/2020)
Page 1of3
2. Understanding of the IDIS Online Rules of Behavior (IDIS RoB) security requirements.
3. Acknowledgement that disciplinary action may be taken based on violation of the IDIS RoB.
The IDIS Online System Security Administrator (SSA) verifies that the users who require access to IDIS Online have read and
accepted (via signature on the acceptance form) this IDIS RoB.
Other Policies and Procedures
This IDIS RoB is intended to enhance and further define the specific rules each user must follow while accessing IDIS Online. The rules are
consistent with the policy and procedures described in the following directives:
Revision of OMB Circular No. A-130, Transmittal No. 3, Appendix https://www.whitehouse.gov/omb/circulars a130 a130pre
III, "Security of Federal Automated Information Resources."
Privacy Act of 1974, as amended, 5 U.S.C. § 552a
18 USC 1030)a)4, "Accessing to Defraud and Obtain Value
http://www.justice.gov/opcl/privacy-act-1974
http://www.gpo.gov/fdsys/granule/USCODE-2010-title18/USCOD
2010-title18-partl-chap47-sec1030/content-detail.html
NIST Special Publication 800-18 - Revision 1, Guide for http://csrc.nist.gov/publications/nistpubs/800-18-Rev1/sp800-18-
Developing Security Plans for Information Technology Systems, Rev1-final.pdf
February 2006
HUD Information Technology Security Policy Handbook
http://portal.hud.gov/hudportal/HUD?src=/program offices/admin
istration/hudclips/handbooks/cio/2400.25
Application Rules
Because written guidance cannot cover every contingency, you are asked to go beyond the stated rules, using your best judgment
and highest ethical standards to guide your actions. These rules are based on Federal laws and regulations and HUD policies. As
such there are consequences for non-compliance. The following IDIS RoB is the minimum rules for users who are requesting an IDIS
Online user account:
1. You are aware of the existence of and penalty for violating 18 USC 1030 and abide by:
a. The elements of 18 USC 1030)a)4, "Accessing to Defraud and Obtain Value" are:
i. Knowingly accessing a protected computer without or in excess of authorization;
ii. With intent to defraud;
iii. Access furthered the intended fraud; and
iv. Obtain anything of value
b. The penalty for violating this statute includes a fine and imprisonment of not more than ten years, or both.
2. You must adhere to HUD's policy requiring a separation of duties between the requestor and approver for financial
transactions:
a. Effective December 14, 2001, the same person can no longer both request and approve a given draw down in IDIS
Online.
b. While individual persons may have the power to both request and approve draws, this rule prevents an individual
from approving a draw that he or she created. IDIS Online requires two people to be involved in every draw down
of funds.
3. Currently, the IDIS Online Local Administrator initially defines what a person can do in IDIS Online, carrying out the
wishes of each grantee's authorizing official — mayor, grant holder, CEO, CFO, etc. Some users have full rights, while
others have limited rights of various kinds. You understand that you,are given access only to IDIS Online to which you
require access in the performance of your official duties and that you will not attempt to access systems that you are not
authorized to access.
4. You are prohibited from misusing IDIS Online, i.e., exceeding your authority. Your level of access to IDIS Online is limited to
ensure your access is not more than necessary to perform your legitimate tasks or assigned duties. If you believe you are
being granted access that you should not have, you must immediately notify the IDIS Online SSA via email at
IdisUseridRequests@hud.gov.
5. You must immediately notify your Supervisor, CPD Field Office Administrator, and/or your Local Grantee Administrator if
your access/privilege are no longer required, termination, promotion, and transferred.
6. You must maintain the confidentiality of your authentication credentials such as your password. Do not reveal your
authentication credentials to anyone and do not record passwords on paper or in electronic form.
7. You must report all security incidents or suspected incidents (e.g., lost passwords, improper or suspicious acts) related to
IDIS Online to the HUD Computer Incident Response Team at CIRT@hud.gov.
8. Your IDIS Online password expires every 90 days, so ensure you access IDIS at least once a month. Users who do not use
IDIS within a 90 day period will find their accounts are de -activated.
ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED. HUD FORM 27055 ( 10/2020)
Page 2 of
9. You must follow proper logon/logoff procedures. You must manually logon to your session; do not store your password
locally on your system or utilize any automated logon capabilities. You must promptly logoff when session access is no
longer needed. If a logoff function is unavailable, you must close your browser. Never leave your computer unattended
while logged into IDIS Online.
10. You must not establish any unauthorized interfaces between IDIS Online and other non -HUD systems.
11. Your access to IDIS Online constitutes your consent to the retrieval and disclosure of the information within the scope of
your authorized access, subject to the Privacy Act, and applicable Federal laws.
12. You must safeguard IDIS Online resources against waste, loss, abuse, unauthorized use of disclosure, and misappropriation.
13. You must not process classified national security information on IDIS Online.
14. You must not browse, search or reveal IDIS Online data except in accordance with that which is required to perform your
legitimate tasks or assigned duties. You must not retrieve data, or in any other way disclose data, for someone who does
not have authority to access that information.
15. By your signature or electronic acceptance (such as by clicking an acceptance button on the screen), you must agree to these
rules
User Acknowledgement and Certification I acknowledge and certify that:
1. I understand the IDIS RoB and Federal Government policies as set forth above regarding security awareness and practices
when accessing and utilizing IDIS Online.
2. I have read and understand the IDIS RoB governing my use of IDIS Online and agree to abide by them.
3. I understand my responsibilities and the penalties for NOT ADHERING to the IDIS RoB.
4. I understand that failure to comply will result in disciplinary action against me which may include, but are not limited to, a
verbal or written warning, removal of system access, reassignment to other duties, demotion, suspension, reassignment,
termination, and possible criminal and/or civil prosecution.
Elizabeth Relford
Requester Name: Signature:
Elizabeth Relford
sate: 1/23/23
GRANTEE APPROVING OFFICIAL
Approving Official's Name:
Mike Freeman
Title:
Chair, Weld County Board of Commissioners
Office Phone:
970-400-4200
ext.:
Office Address: (Street, City, State, Zip)
1150 O Street, Greeley, CO 80631
I authorize the person above to have access to IDIS functions checked.
p
NOTARY
The Approving Official's signature must be notarized to
verify the identity of the individual who signed this
document using the appropriate notary certificate of the
state, territory or insular area. Once completed, attach
the completed notary certificate to this form and send
to your local HUD CPD Field Office. If your state,
territory or insular area does not require a notary
certificate, use the space below.
Date: /Q3_,2O23
Signature:
C
ESTHER E GESICK
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19974016478
MY COMMISSION EXPIRES SEPTEMBER 29, 2025
i
HUD FIELD OFFICES
Field Office Approval (CPD Director or Designee)
Name:
Signature:
Date:
ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED.
Page 3 of 3
HUD FORM 27055 ( 10/2020)
�p,23 M67
ounty Attorney
INTEGRATED DISBURSEMENT AND INFORMATION SYSTEM (IDIS) ONLINE ACCESS
REQUEST FOR ELIZABETH RELFORD - U.S. DEPARTMENT OF HOUSING AND URBAN
DEVELOPMENT (HUD), OFFICE OF COMMUNITY PLANNING AND DEVELOPMENT
APPROVED AS TO SUBSTANCE:
Elect Official, Dep rtment Head, or Deputy Department Head
APPROVED AS TO FUNDING:
p4tT)w
Chief Financial Officer, or Controller
APPROVED AS TO FORM:
,z;
Hello