Attachment J.3 All Reports Template and Format.docx

[PROGRAM TITLE]

[Report Title] MMMM DD to MMMM DD, YYYY

Submission Date: MMMM DD, YYYY

[Contract/Agreement] Number: [insert number] Activity Start Date and End Date: MMMM DD, YYYY to MMMM DD, YYYY [COR/AOR/Activity Manager] Name: [insert name]

Submitted by: [insert name], [insert title] [Name of Prime Implementing Partner] [Insert address] Tel: [insert number] Email: [insert email]

This document was produced for review by the United States Agency for International Development Zambia (USAID/Zambia).

1. PROGRAM OVERVIEW/SUMMARY

Program Name:

Activity Start Date and End Date:

Name of Prime Implementing Partner:

[Contract/Agreement] Number:

Name of Subcontractors/Subawardees:

Major Counterpart Organizations

Geographic Coverage (cities and or countries)

Reporting Period:

Funding source/spigot: (if multiple sources, give percentage of each)

Planned LOP ($):

Mortgage ($):

Obligations as of {add date here}

Does this activity have a costed work plan?

Average monthly expenditures ($):

Accrued expenditures ($):

Pipeline ($):

Pipeline months:

Note: The contractor and COR will agree on all other formatting and content submission image1.png