Contractor Stipend Request

Primary Contact Information

Contractor companies may be eligible for a stipend to offset the expense for sending employees, who are working in the Weatherization Assistance Program, to attend training. Contractor Companies (not the employees) must submit the stipend request.

Please note: A retention agreement with a Community Action Agency must be on file to be eligible for Stipends. Additionally, a W9 must be filed with MPHI.

Question Title

* 1. Primary Contact

Name

Email Address

Phone Number

Question Title

* 2. Provide the full company name and mailing address: (This is where the payment will be sent.)

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

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* 3. Contractor W9

A W9 must be on file with MPHI for payment. Attach here if it has not already been submitted. Alternatively, please email to MDHHS-MiTEC@Michigan.gov with "W9 for (Company Name) - Stipend Payment' in the subject line.

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