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2. All entities wishing to receive a budget allocation from the county must complete this form. The county does not make financial allocations to individual members of the public.
   
   After receiving a completed form, the Finance Director will follow up with the Requesting Entity for additional information.
4. Name of Requesting Entity
6. Type of Entity

   1. Public / Government
   2. Nonprofit
   3. Community Group
7. IRS Designation

   1. 501(c)(3)
   2. 501(c)(6)
   3. Other
9. Contact Person for Request
10. Title of Contact Person
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Phone Number
20. Alternate Phone Number
21. Email Address
23. Budget Request - Narrative*
    Please briefly describe your budget request and why you think the Commissioners should provide funding.
25. Type of Allocation

    1. Operating
    2. Capital
    3. Both
27. Amount of Allocation - Operating
28. Amount of Allocation - Capital
30. Additional Information
    Please upload any additional documents you have that provide information on your request or the rationale for funding.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field