FY 2017 Impact Aid Early Payment Request Form
Impact Aid Number
This number is found on previous vouchers and on your Impact Aid application.
Your answer
School District Name
Note your school or district's name as it appears on your Impact Aid application or vouchers.
Your answer
Are you a Section 7002 or 7003 applicant?
Section 7002 grantees receive funds based on the number of Federal acres in the school district. Section 7003 grantees receive Impact Aid funds based on the number of Federally connected children attending school.
Date by which funds must be received:
MM
/
DD
/
YYYY
Why are you requesting an early payment?
Give a 1-2 sentence description of the reason why Impact Aid funds are needed prior to December 2016.
Your answer
Submit
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