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Application Information
You will need to choose and enter a User Name and Password in order to complete this applicaiton.
Choose a User Name:
Choose a Password:
Your Name:
Your Title:
Company Head(President or CEO):
Company Head Title:
Organization:
Business Address:
City:
County:
Albany
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
Niagara
Oneida
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Rensselaer
Rockland
Saratoga
Schenectady
Schoharie
Schuyler
Seneca
St Lawrence
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
State:
New York
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Telephone:
Fax:
E-mail:
Federal Tax ID Number:
Date:
Organization Type:
Public/Government Agency
Private Corporation
Not for Profit or EDO (Econ Dev Org)
Other:
What is the applicants relationship to the project for which the funding is being requested?: (Check all that apply)
Owner
For-profit developer
Tenant
Not for-Profit developer
Government official
Other
Please tell us how you heard about this program.
NYS Public Service Commission
NYS Empire State Development Corporation
National Grid
(Please identify individual)
NYS Economic Development Council
Local Devlopment Agency (please specify)
Other (please specify)
Press Submit to save your responses and continue to Step One
If you require any technical assistance please call our help line at: 1-888-955-5592.