Letter of Support Request Form Letter of Support Request ApplicantApplicant Name - Please include the name of the government entity or organization who is applying for the funding and will serve as the recipient for the funds.(Required) Contact Person - Please include the name of the primary contact person for this request.(Required) Address - Please include the mailing address (city, state, and zip code) of the applicant.(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person Phone Number(Required)Contact Person Email Address(Required) Grant/LoanProject Name(Required) Application ID Number, if application submitted If application has been submitted, please provide a copy of your applicationAccepted file types: doc, pdf, jpg, docx, Max. file size: 4 MB.Accepted files are doc, docx, pdf or jpg.Municipality(Required) County(Required) Requested Amount(Required) Total Project Cost(Required) Funding Program(Required) Funding Department, Agency, Bureau, etc.(Required) Brief Description of the Project(Required)Brief Impact of the Project(Required)Type of Funding(Required) Grant Loan Tax Credit Support LetterSupport Letter(Required) Yes No Support Letter Contact Person Role(Required) Applicant Engineer/Consultant Support Letter Handling(Required) Please provide the name and mailing address (if hardcopy) or email address of where the original support letter should be sent.Support Letter Extra Copies(Required) Please provide the names and Mailing addresses (if hardcopy) or email addresses of where support letter extra copies should be sent. Support Letter Name(Required) To whom would you like electronic/mailed letters directed?Support Letter Title(Required) Support Letter Email(Required) Support Letter Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Support Letter Due Date(Required) Month Day Year NameThis field is for validation purposes and should be left unchanged.
