Tremont, IL · Tazewell County
TBA Disbursement Request Form
Tremont organizations use this form to request disbursement funds from TBA and explain how the money would benefit the community.
What this form is
Organizations use this form to request a TBA disbursement and describe the request’s community benefit, planned use, budget share, other funding, and number of people who would benefit. The form says it must be completed in full and received by TBA by March 16, 2026, for consideration at the March 18, 2026 meeting. Groups subsidized or endorsed by another entity must provide written approval from all governing entities.
Who needs it
A Tremont organization seeking a TBA disbursement should complete this form and have a representative attend the meeting to present the request.
How to submit it
Mail the form to TBA, PO Box 611, Tremont, IL 61568, Attn: TBA Disbursement, or email it to [email protected].
About notarization
This form does not require a notary; it lists no sworn or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the TBA Disbursement Request Form PDF.
- 2
Complete The Form
Fill in the organization and contact details and answer all questions about the request, funding, and expected beneficiaries.
- 3
Gather Required Approval
If another entity subsidizes or endorses your group, include written approval from all governing entities.
- 4
Submit To TBA
Mail or email the completed form to TBA by the deadline stated on the form.
Frequently asked questions
- Who can use the TBA Disbursement Request Form?
- Organizations seeking a TBA disbursement can use the form to explain their request, planned use of funds, budget, other funding, and expected beneficiaries.
- How do I submit the TBA Disbursement Request Form?
- Mail it to TBA, PO Box 611, Tremont, IL 61568, Attn: TBA Disbursement, or email it to [email protected].
- Do I need a notary for the TBA Disbursement Request Form?
- No. The form lists no sworn or notarized attachment; the signer just signs and dates it.
- What must an organization bring to the disbursement meeting?
- A representative must attend, give a maximum 2–3-minute description of the request and its community benefit, and answer any questions from Betterment members.