Unsure which grant your client is enrolled in?  Locate the “Intended Use” field on the FAIM account statement you pull from VistaShare and send to clients each month.  The four digits listed after their chosen asset is the grant they are enrolled in. 

State Grant 2005 – enrollment reopened 2/1/2023 for 25 slots across the network.

• Screen potential FAIM clients for program readiness BEFORE completing an application.  Must have ability to reach saving goal within 24 months and purchase their chosen asset within 30 months.  If not program ready, place them on your wait list for a future grant.
• Slots will be filled on a first come first served basis by complete application packets submitted to and approved by FAIM Admin.  Submitting an incomplete application packet will NOT hold a spot for your client, coach will be contacted for follow up needed and the application will go to the bottom of the pile.
• Coaching dollars are available to agencies for new enrollments that complete the required 12 hours of Financial Management training.  Complete the training early in client enrollment to access coaching dollars which will be paid out quarterly.
• Client must complete required trainings.  Twelve hours of Financial Management training (course plus 1:1 financial coaching to establish/repair/build credit by reviewing credit report, creating a budget, addressing debt, etc.).  AND ten additional hours of asset-specific training.
• Minimum enrollment period for this grant is 6 months + 1-day before full payout may be requested.  Saving/match period is 24 months from first deposit date – interest earned on savings is not matched.  Maximum enrollment to obtain asset and exit the program is 30 months from first deposit date.
• Asset tracks include First-time Home Purchase, Post-secondary Education, Personal Vehicle Purchase, Business Development (start or expansion).

State Grant 2085 – at capacity.

• Minimum enrollment period for this grant is 1 year + 1-day before full payout may be requested.  Saving/match period is 24 months from first deposit date.  Maximum enrollment to obtain asset and exit the program is 30 months from first deposit date.
• Coaching dollars will be paid to agencies on a quarterly basis for the first 65 clients that complete the required 12-hour Financial Wellness training.  Local coach must submit a copy of the client’s training completion certificate to FAIM Admin to receive coaching funds.

State Grant 2083 – at capacity.

• Enrollment began in March 2021 – clients are reaching their 2-year mark and should be in final stage to spend and exit the program 
• Minimum enrollment period for this grant is 6 months + 1-day before full payout may be requested.  Saving/match period is 24 months from first deposit date.  Maximum enrollment to obtain asset and exit the program is 30 months from first deposit date.
• Coaching dollars were paid to agencies in 2021.

FORMS

FAIM forms shown in green were updated in 2023.  Forms shown in purple were updated in 2022 and will be reviewed along with forms shown in blue – you may use these forms until they are updated.  Dispose of electronic or paper copies of old forms and use current forms posted below.  If you are unsure if you are using an old form, the date it was last updated is listed in the bottom right corner of most forms – check the date on your form against the form below.

Budget / Pre-Post Enrollment Assessment Tools / Training Forms

• Wheel of Finance Worksheet
• Household Budget Estimate Form – March 2021
• Assessment – Financial Knowledge at Application or Exit
• Assessment – Self Efficacy
• Assessment – Financial Practices
• Assessment – Financial Products and Services
• Assessment – Financial Knowledge Pre-Post Training
• Go to FAIM Coordinators tab on main page then click on Training for financial wellness curriculum
• Financial Wellness Training Completion Certificate – June 2022 Fillable
• FAIM – Car Buying Training Completion Certificate – Dec 2021 fillable – also included in back of car buying booklet

Enrollment Forms

Please note Bremer Bank does NOT accept electronic signatures on any forms sent to them, client and coach must physically sign where indicated on forms.

• FAIM Local Agency Wait List Form
• 2023 Federal Poverty Guideline
• FAIM Applicant Screening Tool – Feb 2023 Fillable   pre-screen client before sending/completing an application.
• FAIM Coach – Account Opening Checklist for State Grants – Feb 2023 for coach reference.
• FAIM Application with Cover Page – Feb 2023 Fillable Send in includes an applicant instruction cover page.
• FAIM Application – Feb 2023 Fillable Send in does not include the applicant instruction cover page. 
• FAIM – Self-Employment Income Worksheet – Feb 2022
• FAIM Contract Agreement and Beneficiary Form -February 2023 Fillable  Send in
• FAIM – Savings Account Opening Client Info Form – Feb 2021 Fillable  Send to Bremer and FAIM Admin
• FAIM – Signature Authorization for Withdrawals Form – Jan 2022 Fillable  Send to Bremer & FAIM Admin
• FAIM – Bremer Release of Info Agreement – Jan 2022 Fillable Send to Bremer
• FAIM – Bremer Certificate for Opening Asset Account Form – Jan 2022 Fillable Send to Bremer
• Optional Bremer – Automatic Transfer Authorization Form – Oct 2019 Fillable – Optional  Send to Bremer
• Optional FAIM – Direct Deposit or Auto Transfer Information – Feb 2021 Fillable – Optional  Give to client

Payout Request Forms

• FAIM-Coach-Payout-Request-Checklists-State-Grant-2083-or-2005-Updated-7-17-2022.docx coach reference for State 2083/2005 payouts
• FAIM Matched Withdrawal Form – January 2022 Fillable – Send in  Send in
• FAIM Savings Transfer Request Form – January 2022 Fillable – Send in  Send to FAIM Admin – wait for okay to send to Bremer
• FAIM Education Notes Form – January 2022 Fillable – Send in  Send in
• W9 Form is required if vendor is not in WCMCA’s fiscal system or has been inactive for 12 months  Send in
• Optional – FAIM Client Payout Tracking Spreadsheet Excel document – optional for coach reference
• See below for additional documents required with the payout request for each asset track
• If this payout will be the final payout, also complete the Exit forms.

Business Asset Forms and Templates

• FAIM – Guide to Business Development Requirements – Updated 4-26-2022 – share with business asset clients
• FAIM – Asset-Specific Training Hours Tracking Form – keep in local file
• FAIM Business Plan – 2020 Template  Send in – share with business asset clients
• FAIM Use of Funds & Budget Projection Spreadsheets March 2022 – Template  Send in – share with business asset clients
• FAIM Business Plan Approval Form – Fillable -March 2022 – Send in  Send in – share with business asset clients
• W9 Form – Send in – Business must have an EIN even if operating as sole proprietor.  Do not list SSN on the W9 for business asset
• Send with business payout request:  copy of EIN assignment letter from IRS, registration of business with MN Secretary of State, and documentation of business checking account opened at an insured bank or credit union
• Business Asset Online Resources – share with business asset clients for free help with business plan creation and approval
• Locate a Small Business Development Center (SBDC) in MN:  https://mn.gov/deed/business/help/sbdc/
  • SBDC Resource:  A Guide to Starting a Business in Minnesota
  • SCORE:   Find Your Business Mentor | SCORE 
  • Sales Tax Resources:  http://www.thestc.com/ or http://www.zip2tax.com/
• Vehicle purchase guidance – for business asset
• Market Research and Pricing
• Small Business Marketing

Education Asset Forms

• FAIM – Third Party Billing Form Jan 2022 Fillable – Send in  Send in with payout request. Send to the college PRIOR to drop/add date.
• Send with payout request:  student must provide an itemized college bill, class list, and bookstore receipt (if applicable)
• FAIM – Asset-Specific Training Hours Tracking Form – keep in local file
• Career Assessment Tool
• Education Tracking Form
• Sample – College Fee Statement

Home Purchase Asset Forms

• Loan Estimate – send with payout request forms
• Closing Disclosure (CD) – send final, signed copy after closing date.  Also required for principal reduction payout – if home was purchased after enrolling in FAIM but before meeting the minimum enrollment requirement.
• Current Mortgage Statement – send with copy of final CD if doing a principal reduction payout.  Another copy is required within 30 days of the payout to document that the FAIM payment was applied to principal only.
• Household Budget Estimate Form – located in Financial Training/Assessment Tools section
• FAIM – Asset-Specific Training Hours Tracking Form – keep in local file
• Mortgage Qualifier Form

Vehicle Purchase Asset

• Household Budget Estimate Form – in Financial Training/Assessment Tools section.  Participant’s budget must support cost of vehicle ownership
• FAIM – Guide for Vehicle Purchase – State Grant 2083 or 2005 – Updated 7-7-2022   for clients enrolled in 2021 and 2023
• FAIM – Guide for Vehicle Purchase -State Grant 2085 – Updated 7-7-2022  for clients enrolled in 2022
• Car Buying Education Material – First DRAFT Nov 2021
• FAIM – Asset-Specific Training Hours Tracking Form – keep in local file
• FAIM – Used Vehicle Inspection Form – June 2022  – send with payout request
• Letter of Guarantee – dealership may request verification of program payment.  Coach must contact FAIM Admin to complete, if needed.
• Required with payout: 
  • Copy of signed Vehicle Purchase Agreement/Contract – another copy required after payout to show FAIM funds were applied
  • Copy of vehicle title (both sides) and lien release card (if applicable) – another copy required after payout to document title transfer
  • Copy of Vehicle Inspection Report (with passing grade and estimate if repairs are needed)
  • Proof of FAIM participant’s valid Minnesota driver’s license
  • Proof of FAIM participant’s valid vehicle insurance – (or quote from agent if they aren’t replacing a vehicle)
  • Vehicle value printout from kbb.com – purchase price must fall between the retail and private party values.

Exit Forms

• FAIM Exit – Account Closing Checklist 2019 for reference
• FAIM Exit Form – January 2022 Fillable – Send in  Send to FAIM Admin 
• FAIM Savings Account Closure Form – 4-20-2022 Fillable – Send in Send to FAIM Admin – wait for okay to send to Bremer 
• FAIM Education Notes Form – found in Payout Request Forms section – send in if client exits without a payout
• FAIM Participant Survey 2018 – Send in Optional client survey

Program Forms

• FAIM Brochure is available on the “About FAIM” page
• FAIM – Client Contact Log  keep in local client file.
• FAIM – Local Client File Cover Sheet – updated March 2021
• FAIM Now What Brochure – Updated 2-7-2022
• FAIM Timeline – Updated 3-3-2022
• FAIM Contract Amendment Request Form – Jan 2022 Fillable – send in
• FAIM Contract Extension Request Form – Jan 2022 Fillable – send in
• FAIM Waiver of Odd Cents Form – Jan 2022 Fillable – Send in
• FAIM Excess Savings Withdrawal Form – Jan 2022 Fillable – State Grant – Send in
• FAIM One-Time Emergency Withdrawal Form – coach must contact FAIM Admin to request completion
• Enrollment Denial Letter – March 2021 Fillable
• Enrollment Termination Letter – April 2021 Fillable

Cornerstone Advocacy Service – Forms for CAS Private Match Enrollees

• Cornerstone Coach – Private Match Payout Request Checklist – 5-5-2022 – CAS Payout Checklist
• Cornerstone Exit Form Fillable May 2022 – Send in – CAS Exit form