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.

Only company owners or sole proprietors may submit stipend requests.

Please note that stipend requests must be submitted within 30-days of the date of training or they will be denied. Stipends for trainings in the month of September (Fiscal Year End) must be submitted by October 5th.

Question Title

* 1. Primary Company Contact

Name

Email Address

Phone Number

Question Title

* 2. Is this request for you?

Yes

Question Title

* 3. 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 *

Contractor Stipend Request

Primary Contact Information

Question Title

* 1. Primary Company Contact

Question Title

* 2. Is this request for you?

Question Title

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

Question Title

* 4. Contractor W9

Question Title

* 5. Retention Agreement