CARRP COMMUNITY AUDIT RETROFIT REBATE PROGRAM RESERVATION and WAITING LIST APPLICATION (A multi-jurisdiction rebate program with limited funding) Jurisdiction:
(Please circle)
Sun Valley Camas County Fairfield Ketchum Hailey
Blaine County
Bellevue
Name of Applicant: __________________________________________ Property Address: _______________________________ City:________________ State:_______________ Zip:______________________ Mailing Address (if different then above): ___________________________________________________ City:____________ State:_______ Zip:______________ Home Phone: (
) __________ - __________Cell: (
) _________-____________
Email Address:________________________________________________
Please fill in one (1) box only RESERVATION - Funds are available Date of submitted reservation application: _________________________ Deadline to submit complete* final application: ___________________________ (90 days from reservation date) *Please see final application checklist to determine what must be submitted for an application to be considered complete)
OR WAITING LIST - Funds are not available Date of submitted waiting list application: _____________________________ Date City/County informs you of funding availability (date entered by City/County official): ____________________________
Deadline to submit complete* final application (date entered by City/County official):______________________________
90 days from the date the City/County informs you of available funding via email or phone *Please see application checklist to determine what must be submitted for an application to be considered complete)
If an application is not determined complete by the applicable jurisdiction by the specified deadline date, you will lose your reservation and the funds will become available to another applicant. The undersigned understands the requirements of a complete application and the deadline date assigned to this application either 1) at the time this reservation application is submitted, if funds are available; or 2) once you are contacted by the City/County that funds are available, if you are placed on a waiting list. The undersigned agrees that if a complete application is not submitted before the end of regular business hours on the deadline date, the reserved funds will be forfeited and will no longer be available. It is the responsibility of the undersigned to remember their deadline date. The City/County will not remind applicants of their deadline date in advance of the deadline and will not contact applicants to notify them that the reserved funds have been forfeited after the 90 days. ________________________________ Applicant’s Signature ___________________________________ Date
Please provide the applicant with a copy of this reservation application for their records