OSW Workforce Program Milestone 2

Maryland Offshore Wind Workforce Program - FY 2019

Milestone 2 Invoice Submission Form
Reporting Information
PLEASE NOTE: Your participation in this grant program requires you, the grantee, to submit this invoice after the completion of each project milestone.

Failure to submit a properly completed milestone invoice may result in a significant delay in your financial reimbursements.
Acknowledgement *

I understand

Part 1 - Milestone Checklist

Milestone Invoice Required Materials Checklist
Please verify that you have the following documents ready to upload on Part 4 of this form. A file will be required, unless otherwise noted, for all items in this checklist.

If you have any questions regarding the requirements, please contact the Samuel Beirne, MEA Wind Program Manager at wind.mea@maryland.gov or 410-537-4090.

NOTE: This form must be submitted with an invoice from the Grantee. The invoice should be on the Grantee’s letterhead or standard invoicing document.
Required Materials - General
Required Materials - Student Graduation
Miscellaneous Materials (Optional)

Part 2 - Grantee Information
Organization (Grantee) Name *
Federal Tax ID Number *
MEA Grant Number *
Your MEA Grant number can be found on your Grant Agreement
County Where Work is Occuring *
Maryland County or Baltimore City
Organization Information
Organization (Grantee) Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Grantee Point of Contact Information
Name of Authorized Representative *

First Name Last Name
Position Title of Authorized Representative *
Email of Authorized Representative *
example@example.com
Phone Number of Authorized Representative *

Area Code Phone Number

Part 3 - Reporting Period, Milestone, & Grantee Invoice
Reporting Period
Month *
Year *
Invoice
Total Grant Award Amount *
Total Reimbursement Request *
Please refer to your grant agreement for the specified milestone amounts
Grantee Invoice Number *

Part 4 - Supporting Documents
Required Materials - General
Milestone Reimbursement Invoice

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For Grantee reimbursement, an invoice must: be issued to MEA; placed on Grantee’s letterhead or standard invoicing document; contain the Grantee invoice number, MEA Grant number, Grantee federal tax identification number, address where work is being completed, and Grantee contact information. The Grantee’s organization name must match the name listed on the submitted IRS W-9 form. The invoice must be billed to: Maryland Energy Administration, 1800 Washington Blvd, Suite 755, Baltimore, MD 21230. Cancel of
Invoice Overview Spreadsheet

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This document is available on Program webpage in the section titled "Reporting and Invoicing for Existing Grantees." Cancel of
Invoice(s) Paid by Grantee

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Copy of developer/vendor/manufacture invoice (issued to Grantee) providing proof of costs incurred equal to or greater than twice the total reimbursement request from MEA as provided above. Cancel of
Required Materials - Preliminary Report & Student Achievement
Preliminary Report

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The information required in the Final Report is specified in Attachment A of the Grant Agreement. Cancel of
Student Information Spreadsheet

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The information required is specified in Attachment A of the Grant Agreement and can be included in the Final Report or as a separate document. Cancel of
Proof of Student Graduation

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Student Certificate Received

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Miscellaneous Materials (Optional)
Photos of Work Completed

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If the file size is too large, pictures may be emailed to the MEA Program Manager. Cancel of
Additional Documents

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Upload as many additional documents as desired Cancel of

Submit
I certify the information provided in this submission and all of its attachments are complete, accurate, and true. In addition, I am authorized to provide MEA with this submission on behalf of the Grantee. *

I Agree
Please sign your name using your mouse. *

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Printed Name *

First Name Last Name
Date *

Month Day Year
Date Hour Minutes AM/PM Option
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Maryland Offshore Wind Workforce Program - FY 2019

Reporting Information

Part 1 - Milestone Checklist

Part 2 - Grantee Information

Organization Information

Grantee Point of Contact Information

Part 3 - Reporting Period, Milestone, & Grantee Invoice

Reporting Period

Invoice

Part 4 - Supporting Documents

Required Materials - General

Required Materials - Preliminary Report & Student Achievement

Miscellaneous Materials (Optional)

Submit