Letter of Support Request Form

Applicant

Applicant 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 State ZIP Code

Contact Person Phone Number(Required)

Contact Person Email Address(Required)

Grant/Loan

Project Name(Required)

Application ID Number, if application submitted

If application has been submitted, please provide a copy of your application

Accepted 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 Letter

Support 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 State ZIP Code

Support Letter Due Date(Required)

Comments

This field is for validation purposes and should be left unchanged.