Lake County Opioid Settlement Fund Application Submission
Project Name:
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Sponsor/Developer Name:
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Contact Name
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Phone Number
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Format: (000) 000-0000.
Email
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1 Application and Budget Spreadsheet
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Upload as filename: 1 Application / 1 Budget
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2 Most Current Certified Audit
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Including Schedule of Expenditure for Federal Awards, if completed by outside auditors. Upload as filename: 2 Audit
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3 Legal Attachments
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Upload as filenames: 3 IRS Letter / 3 Articles of Incorporation / 3 Current SAM / 3 Good Standing
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4 Policies
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Upload as filename: 4 Non-Discrimination Policy / 4 Org Chart
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5 Forms
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Upload as filename: 5 Intake
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Click "submit" to complete you application.
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