HomeDocuments, Reports & RFPsCommunity Clean Up Fund Request Form
  • Please enter the town, city, or village where the project will take place.
  • The municipality’s CSWD Commissioner is the designated Community Cleanup Fund Contact and must approve the project. Please enter the name of the person requesting funds on behalf of the municipality if different from the Commissioner.
  • Please provide the street address or, if there is no street address, a geographic description of where the activity will take place.
  • Please describe in a few sentences the nature of the activity, and how it will benefit the community.
  • Please include as much detail as possible. If project has already been completed, please attach proof of paid expenses for which you are requesting reimbursement.
  • Accepted file types: doc, docx, xls, xlsx, pdf.
  • Estimated month and year of beginning of project and completion of project. Include separate phases if applicable.