Do I need a notary for the Economic Development and Marketing Payment Request Form?

No. The form calls for an authorized signature and date, not a notary. Attach backup documentation for all submitted expenses.

How do I submit the payment request?

Mail the completed request to the Broome County Department of Planning at the address on the form. It also says the request may be billed electronically to the email address printed on the form.

What types of payment can I request?

The form lets you check advance, reimbursement, and final expenditure. Select all types that apply to your request.

What supporting documents are required?

The form says to attach backup documentation for all submitted expenses. It also asks you to outline the expenses and provide the total amount requested.

Broome County, NY · Broome County

No notary required

Economic Development and Marketing Payment Request Form

Broome County grantees use this form to request an advance, reimbursement, or final payment for expenses under a 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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form requests payment under a Broome County Community Improvement Grant and lets the grantee identify the request as an advance, reimbursement, or final expenditure. It asks for organization and grant details, the expenditure period, expense categories, and the total requested. The form requires backup documentation for all submitted expenses and a certification signed by an authorized representative.

Who needs it

A grantee with a Broome County grant agreement uses this form to request an advance, reimbursement, or final payment.

How to submit it

Mail 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 the email address printed on it.

About notarization

This form is signed and dated without a notary; attach backup documentation for all submitted expenses, and no sworn or notarized attachment is stated.

How to submit this form

1
Download the Form
Download the Economic Development and Marketing Payment Request Form.
2
Complete the Request
Enter the grantee and grant details, expenditure period, payment request type, expense details, and total amount requested.
3
Gather Expense Documentation
Attach backup documentation for all expenses included in the request.
4
Sign and Submit
Have an authorized representative sign and date the certification, then mail or bill it electronically as directed on the form.

Frequently asked questions

Do I need a notary for the Economic Development and Marketing Payment Request Form?: No. The form calls for an authorized signature and date, not a notary. Attach backup documentation for all submitted expenses.
How do I submit the payment request?: Mail the completed request to the Broome County Department of Planning at the address on the form. It also says the request may be billed electronically to the email address printed on the form.
What types of payment can I request?: The form lets you check advance, reimbursement, and final expenditure. Select all types that apply to your request.
What supporting documents are required?: The form says to attach backup documentation for all submitted expenses. It also asks you to outline the expenses and provide the total amount requested.

Need something notarized?

This Economic Development and Marketing Payment Request Form doesn’t need a notary, but if you have another Broome County form that does, a commissioned online notary can help.