Letter of Support Request Form Support Letter Contact Person - Please include the name of the primary contact person for this request.(Required)Support Letter Contact Person Phone Number - Please include the phone number of the primary contact person.(Required)Support Letter Contact Person Email Address - Please include the email address of the primary contact person.(Required) Support Letter Contact Person Role - Please choose which best describes the contact person.(Required) Applicant Engineer/Consultant Applicant InformationApplicant 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)Point of Contact- 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 Project InformationName of Project - Please provide the name of the project that is the subject of the funding request.(Required)Brief Description of the Project - Please describe the project, including a description of how the requested funding will be used.(Required)Brief Impact of the Project - Please describe the benefits of the project to the community.(Required)Total Project Cost - Please provide the total cost of the project local share.(Required)Amount of Grant Funding Requested(Required)Grant Program Name and Agency/Organization - Please name the agency/organization that administers the funding program.(Required)Type of Funding(Required) Grant Loan Tax Credit Application ID Number (if applicable) - If an application has already been submitted, please provide the application ID number (if available)County - Please state the county in which the project is located.(Required)Municipality - Please state the municipality (city/borough/township) in which the project is located.(Required)Application - Please upload the project application if available. Drop files here or Select files Accepted file types: doc, pdf, jpg, docx, Max. file size: 4 MB. Support Letter InformationAddressee Name - Please state to whom the support letter should be addressed.(Required)Addressee Title - Please state the functional title of the addressee.(Required)Addressee Mailing Address - Please state the mailing address (city, state and zip code) of the addressee.(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 - Please indicate the date by which the support letter is needed.(Required) Month Day Year EmailThis field is for validation purposes and should be left unchanged.
