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* 1. County/ies (Check all that apply):

Select all counties that will be included in the planning area. This can be an individual county or select all counties that will be included in your multicounty plan, if applicable.

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* 2. Multicounty Group Name (if applicable):

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* 3. State of Michigan Accounting System Vendor ID #
(SIGMA VSS - Begins with "CV" or "VS" followed by seven digits):

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* 4. Address (Associated with SIGMA #):

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* 5. County Financial Contact:
For purposes of the grant contract, please list a county contact. This may be different from the MMP Grant Manager that is specified in the work program.

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* 6. Work Program Upload

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 7. Please note any comments regarding your submittal:

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* 8. Electronic Signature:

Please check each box below to indicate your understanding.

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* 9. Electronic Signature of Work Program Submittal Contact:

T