Request a Letter of Support

My office is happy to consider providing a letter of support to constituents or organizations that are applying for a government grant.

Use the form below to request a letter of support, or fax your request to 717-787-3722, and be sure to include the name of the individual or organization applying, mailing address, description of the government grant and reason for the letter of support, deadline for the letter, and a contact name and phone number.

Please allow a minimum three weeks notification in order to process your request in a timely manner.

  1. Contact Person Information:
  2. Please complete the following information about the primary person Senator Teplitz should contact regarding this request.
  3. (required)
  4. (required)
  5. (valid email required)
  6. (valid email required)
  7. (required)
  8. Applicant Information:
  9. Please complete the following information about the entity for whom the request is being made
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  14. Funding Source Information:
  15. Please complete the following information about the funding source for which the applicant is applying for funds.
  16. Type of Funding Source (check all that apply)...
  17. (required)
  18. (required)
  19. (required)
  20. (required)
  21. Project Information:
  22. Please complete the following information about the project for which the applicant is applying for funds.
  23. (required)
  24. (required)
  25. Send letter of support to (check all that apply)...
 

 

 

 

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