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Grant Payment Request, CalEPA 220 - California Environmental - calepa ca

Grant Payment Request, CalEPA 220 - California Environmental - calepa ca 2026

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The document is a Grant Payment Request form from the California Environmental Protection Agency (Cal/EPA) for the EJ Small Grants Program. It outlines the necessary information and steps required for grantees to request payment, including details such as grantee name, grant number, payment type, amount requested, and supporting documentation. The form also includes certification requirements and instructions for submission.

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Click ‘Get Form’ to open the Grant Payment Request, CalEPA 220 in the editor.
Begin by entering your Grantee Name as it appears on the grant agreement in the first field.
Input the Grant Number assigned by Cal/EPA in the second field.
For the Payment Request Number, start with '1' for your first request and increment for subsequent requests.
Select the Type of Payment Request: Initial, Reimbursement, or Final. Ensure you attach any necessary supporting documentation.
Fill in the Amount Requested in dollars for this payment request.
Indicate whether appropriate supporting documentation has been submitted to Cal/EPA by selecting 'YES' or 'NOT REQUIRED'.
Provide your Federal Employer Identification Number (FEIN) and select your entity type (Non-Profit or Federally Recognized Tribe).
Complete the Send Warrant To section with contact details including name, address, city, state, and zip code.
Certify your claim by signing and dating where indicated at the bottom of the form.

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