Broome County, NY · Broome County
Beautification and Stewardship Payment Request Form
Broome County grantees use this form to request advance, reimbursement, or final payments under a Beautification and Environmental Stewardship grant agreement.
At a glance
- Issued by
- City of Broome County · Broome County, Broome County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- broomecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets a grantee request an advance, reimbursement, or final payment under a Broome County Beautification and Environmental Stewardship grant agreement. It asks for organization and grant details, the expenditure period, expense categories, and the total requested. The grantee must outline expenses and attach backup documentation for all submitted expenses, then certify the information and sign and date the request.
Who needs it
A grantee seeking an advance, reimbursement, or final payment under a Broome County Beautification and Environmental Stewardship grant agreement should complete this form.
How to submit it
Bill the request to the Broome County Department of Planning, 60 Hawley Street, PO Box 1766, Binghamton, New York 13902; the form also allows electronic billing to [email protected].
About notarization
This request is signed and dated without a notary; attach backup documentation for all submitted expenses, and the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the Broome County Beautification and Stewardship Payment Request Form.
- 2
Complete the Request
Enter grantee and grant details, the expenditure period, payment type, expense details, and total amount requested.
- 3
Gather Backup Documentation
Attach backup documentation for all submitted expenses.
- 4
Submit to the County
Bill the request to the Broome County Department of Planning at the address on the form or electronically to the listed email.
Frequently asked questions
- Do I need a notary for the Beautification and Stewardship Payment Request Form?
- No. The form is signed and dated without a notary. Attach backup documentation for all submitted expenses; the form does not identify any notarized or sworn attachment.
- How do I submit the payment request?
- Bill it to the Broome County Department of Planning at 60 Hawley Street, PO Box 1766, Binghamton, New York 13902. The form also allows electronic billing to [email protected].
- What payment types can I request?
- The form provides checkboxes for an advance, reimbursement, and final payment request.
- What documentation should I include?
- Outline the expenses for which you are requesting payment and attach backup documentation for all submitted expenses.