Calumet, MI · Houghton County
DDA Large & Small Grants Reimbursement Request Form
The Village of Calumet DDA reimbursement request form is for grant payees seeking reimbursement for expenses from an approved large- or small-scale project.
What this form is
Use this form to request reimbursement from the Village of Calumet DDA for expenses incurred as part of an approved large- or small-scale grant project. It asks for project, payee, and financial details, and requires a signature and date. Attach the documentation applicable to the grant, including receipts or paid invoices for small grants, and submit digital images of the improvements or completed design.
Who needs it
A payee seeking reimbursement for an approved Village of Calumet DDA large- or small-scale grant project should complete this form.
How to submit it
Email the completed form and required attachments to [email protected], or deliver a hard copy to the DDA office at 340 6th Street, Calumet, MI 49913. Email digital images of physical improvements or the completed design to the same address.
About notarization
This document is signed and dated without a notary; the payee certifies the request is true and accurate, and no sworn or notarized attachment is specified.
How to submit this form
- 1
Download The Form
Download the DDA Large & Small Grants Reimbursement Request Form.
- 2
Complete The Request
Enter the project, grant, payee, and financial details, then sign and date the certification.
- 3
Gather Attachments
Include the documentation applicable to the grant and digital images of physical improvements or the completed design.
- 4
Submit To The DDA
Email the form and required attachments to [email protected] or deliver a hard copy to the DDA office.
Frequently asked questions
- Do I need a notary for the DDA reimbursement request form?
- No. The payee signs and dates the form and certifies that the information is true and accurate. The form does not specify a notarized or sworn attachment.
- How do I submit the reimbursement request?
- Email the completed form and required attachments to [email protected], or deliver a hard copy to the DDA office at 340 6th Street, Calumet, MI 49913.
- What documents should I attach?
- Small grants require receipts or paid invoices and a Final Grant Report. Attach a Certificate of Occupancy if applicable, or a DDA Representative Inspection Approval Letter. All grants require digital images of improvements or completed design.
- What information does the form ask for?
- It asks for project and grant details, payee contact information, total project cost, reimbursement requested, supporting documentation, and the payee’s signature and date.
