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Eligibility Requirements
Required Documents
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Organization/ Agency Name
(Required)
Primary Agency Contact
(Required)
First Name
Last Name
Contact Email
(Required)
Contact Phone
(Required)
Financial Statements from Current Fiscal Year
Balance Sheet
(Required)
Max. file size: 300 MB.
Income Statement
(Required)
Max. file size: 300 MB.
Statement of Cash Flows, certified by the agency’s CFO, Finance Officer, or Board Treasurer
(Required)
Max. file size: 300 MB.
Additional Required Documents
Completed Form W-9
(Required)
Download, complete, and upload the W-9 form here.
Max. file size: 300 MB.
Completed Authorization for Automatic Deposits Form
(Required)
Download, complete, and upload the Authorization for Automatic Deposits form here.
Max. file size: 300 MB.
Most recent audit reports
(Required)
Max. file size: 300 MB.
Most recent fiscal year-ending Form 990 report
(Required)
Max. file size: 300 MB.
Current certificate of commercial liability insurance
(Required)
Max. file size: 300 MB.
Proof of federally approved indirect rate (if applicable)
Max. file size: 300 MB.
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