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Information for Award Recipient

Below you will find the "Award Disbursement Request Form." This form will need to be completed in order to utilize your award disbursement. If you have any questions or concerns, please email 

You can submit the form in the following ways: 
  1. Utilize the fillable form and email to 
  2. Print the form and mail to: PO Box 321, Bath, NY 14810
  3. Print the form and fax to: 607.776.9482
General Information,
May 12, 2020, 3:54 AM