Letter of Support Request Form

Please fill out all required fields.

Welcome to the Funding Letter of Support Request Form. Please complete the details below to help Representative Natalie Mihalek understand your project or initiative, including its objectives, anticipated outcomes, and the impact on your community. Your input is crucial in enabling the representative to craft a tailored letter of support for your funding application.

Applicant

Applicant Name

Is the eligible applicant applying on behalf of another organization?

Yes

Grant/Loan

Funding Department, Agency, Bureau, etc.

Funding Program

Type of Funding

Grant

Loan

Tax Credit

Project Name

Municipality

County

Requested Amount

Total Project Cost

Brief Description of the Project

Brief Impact of the Project

Support Letter Handling

To whom should the letter be addressed/directed?

Please provide the organization/department/agency of the above addressee

Please provide the mailing address of the above addressee

Support Letter Due Date Please allow at least two fully operational business days.

Contact Information

First Name*

Last Name*

Phone*

Email*

Address*

City*

State*

Zip*

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Disclaimer: Submission of this request does not guarantee that a letter of support will be issued. All requests are subject to review, and the final decision to provide a letter of support rests solely with the representative and the relevant governing bodies.

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