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Safety Equipment
Funding Request Form
Cost Per Item - Please upload at least two (three is preferred) bids for the items needed
Total Dollar Amount of Grant Request
Please select the type of file you are uploading
Bid 1
Upload File
Upload supported file (Max 15MB)
Bid 1
Upload File
Upload supported file (Max 15MB)
Bid 2
Upload File
Upload supported file (Max 15MB)
Bid 2
Upload File
Upload supported file (Max 15MB)
Bid 3
Upload File
Upload supported file (Max 15MB)
Bid 3
Upload File
Upload supported file (Max 15MB)
Is this equipment replacing current/out-dated equipment, or in addition to?
Replacing current/out-dated equipment
In addition to current equipment
Does the equipment for which you are requesting funding meet industry standards (NFPA, NIOSH, NIST, UL, Government, etc.)?
Yes
No
Please upload a current Department financial report below
Select the type of file you are uploading
Click below to upload Department financial report
Upload File
Upload supported file (Max 15MB)
Click below to upload Department financial report
Upload File
Upload supported file (Max 15MB)
Submit Request
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