Washington State TBI Support Group Budgets
Please complete the information below to help us understand more about what your group needs. The categories below are the only authorized uses of the funds at the current time. There is, however a place for you to list other needs outside of these categories so that we can advocate for additional funding or potentially provide assistance from other sources.

This form is to be completed by qualified WA State support group facilitators only. All other submissions will not be considered.

Our team is available to help you complete this budget if you require assistance. You can contact us at 877-719-2378 or email us at grants@brainenergysupportteam.org

About you and your TBI Support Group
Name of Support Group *
(Be sure this includes the City's name
Your answer
Facilitator Name *
(This is the person responsible for the Visa card)
Your answer
Co-Facilitator
Your answer
How much does your TBI Support Group need?
Please include both dollar amount for the year and any extra detail you think would help us understand more specifically what you need.
Amount for Transportation *
Examples include mileage reimbursement, cost of bus passes, or purchase of taxi vouchers.
Your answer
How will you use this money in this category?
Transporation funds are specifically for support group members and/or facilitator to and from meetings and facilitator training.
Your answer
Amount for Advertising support group meetings *
Your answer
How will you use this money in this category?
This includes newspaper, radio, community newsletters and online advertising.
Your answer
Amount for Materials and Postage *
This includes cost to send out meeting notices and relevant information.
Your answer
How will you use this money in this category?
Examples include stamps, paper, ink, professional copies, invitations, reminder/postcards
Your answer
Amount for Meeting Space Rental *
monthly rent, space fees, event space cost
Your answer
How will you use this money in this category?
Please include specifics such as hotel meeting room, etc.
Your answer
Amont for Refreshments offered at support group meetings *
Your answer
How will you use this money in this category?
This includes drinks, snacks for meetings, food for parties or events, etc
Your answer
Amount for Information Resources *
Your answer
How will you use this money in this category?
This includes items such as books, pamphlets, videos, toolkits, resource guides that would not otherwise be provided without charge to the group.
Your answer
Registration fees for up to 25% of the support group members to attend the annual TBI Conference *
How many support group members will your group sponsor? Do NOT put in a dollar amount as an answer to this question.
Your answer
How will you use this money in this category?
Note that we do not provide direct funding for support group members to attend the annual TBI Conference. This information is used to assist WA DSHS in their budget process for scholarships.
Your answer
Amount for Speaker fees for guest speakers or presentations
Your answer
Please tell us about the speaker and how the money will be used in this category.
Please note that this is not a funded category under RCW 74.31. However, we continue to strive to assist support groups with the cost of activities that benefit group members.
Your answer
Amount for any other costs not covered under the catagories above?
Enter the total amount in this section only.
Your answer
How will the money be used in this category? Please include as much detail as possible.
Please note that this is not a funded category under RCW 74.31. However, we continue to strive to assist support groups with the cost of activities that benefit group members.
Your answer
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This form was created inside of Brain Energy Support Team.