Grant Support Letter Request Form

Please submit your request ahead of time and allow for up to fourteen (14) business days for your request to be processed.

Contact Person Full Name *

Contact Person E-Mail Address *

Contact Person Phone Number *

Applicant / Organization Name Applying for Grant *

Name of Grant *

Intended Use for Grant *

Grant Deadline *

Additional Comments / Information Helpful in Processing of Request

Please submit any supporting documents to RepAmen@pahouse.net. Documents including, but not limited to project summary, draft support letter etc. Someone from Rep. Brown’s staff will reach out to the email provided after submission to confirm receipt and schedule a meeting with the contact person, if needed.