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Cost Share Reimbursement Documents Request
This form is used to request paid invoices, applications, and organic certificates for use with both the Cost Share Reimbursement and OTECP programs. Please allow up to 5 business days for PCO to respond.
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* Indicates required question
Email
*
Your email
Client File Number (821000xxxx)
*
Your answer
Client Name/Company Name
*
Your answer
Documents being requested
*
Paid Invoices
State Application
FSA Application
Organic Certificate
Required
If you are requesting a state application, which state application is needed?
*
Choose
Florida
Maryland
Massachusetts
North Carolina
New Jersey
New York
Ohio
Pennsylvania
Virginia
Other
N/A
How would you like the requested documents to be sent
*
US Postal Service to me
Email to me
Email to FSA
Additional Comments
Your answer
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