POOL/PACT Risk Management Grant

Please fill out the form below. Revised 11/29/2017


Organization Information:

(PDF format only - Completed Member Submission Approval Form approving submission of risk management grant application)

The Project Contact and/or Alternate Contact may be contacted to provide additional information regarding the grant request.



Part II. Explanation for lack of available funds:


Part III. Project Request:


Funding Request:

Applicant agrees to complete and submit the grant validation report (Validation-Report.pdf) with in 30 days of the funded project completion or becoming operational. Failure to do so may result in denial of future risk management grant applications from the member.

Funding from POOL/PACT will be used exclusively for the purpose listed in this application.