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Payment Request Form
1. Please enter all applicable information. Failure to do so could delay processing.
2. Section II measure, shown in yellow, should contain measures that are specific to the grantee's project. Edit as needed.
3. Please attach documentation as evidence of your grant activities and spending.
4. Your report must include a narrative description summarizing your activities and the status of your program, relative to the grant.
5. For final reports:
a. Complete the attached (GIA final report cover sheet).
|Last Reviewed: Thursday, June 28, 2012|