State Grants to Libraries

Request for Funds Form:

Last day to request funds: June 30, 2024

Funds are to be requested on a reimbursement basis

Select your library type *

Select your academic institution: * 🛈

Select your public library: * 🛈

Select your school district: * 🛈

Funding Approved * 🛈

Expenditures to Date (do not include obligations or encumbrances): * 🛈

Previously Requested Funds: * 🛈

Total Amount of Current Request:
"Expenditures to Date" minus "Previously Requested Funds" 🛈

0.00

Name of Person Preparing Report * 🛈

Phone # of Person Preparing Report: * 🛈

Person Preparing the Report Email Address: 🛈

Name & Title of Authorized Representative: * 🛈

Enter the Email address of the Authorized Representative listed above who will review, approve, and submit this Request For Funds: *