Funding Request Form

Primary Member

Secondary Member

Active Firefighter

Retired Firefighter

Police

EMS

Dispatch

Military

Fire Spouse

Other

Participant

Team Captain

Club Leader

Committee Lead

Board Member

Other

Direct Payment Request (Preferred)

Reimbursement Request (Exception Only)

Tournament Registration

Uniform Purchase

Equipment Needs

Travel and Lodging

Training and Certification

Club Activity Expense

Wellness and Mental Health Program Expense

Other

Tournament Registration

Uniform Purchase

Equipment Needs

Travel and Lodging

Training and Certification

Club Activity Expense

Wellness and Mental Health Program Expense

Other

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I understand that funding and sponsorship are not guaranteed and are subject to board discretion and budget availability.

I understand that the organization prefers direct payment to vendors when possible and does not allow cash payments.

I understand that reimbursements are allowed only by exception and require written pre-approval and dual approval.

I understand that participant contributions may be required for non-local events and may be waived only by the board.

I understand that missing documentation may result in denial or partial approval.

I certify that the information provided in this request is accurate and complete.

I understand that if the organization sponsors any portion of this tournament or competition, 100% of any cash prize must be donated to Sin City Fire Department Sports.

I understand that if participants intend to keep any portion of potential prize money, no sponsorship or funding may be awarded for this event.

I understand that failure to report or donate prize money may result in suspension of future funding and reimbursements.

Tournament

Club

Wellness and Mental Health

Uniforms

Equipment

Travel and Lodging

Training and Certification

Other

Approved

Approved Modified

Waitlisted

Denied

Check

Direct Deposit

Vendor Payment

First Name * Last Name *

Sin City Fire Department Sports

INSTRUCTIONS

SECTION 1: REQUESTOR INFORMATION

SECTION 2: REQUEST PATH

SECTION 3: REQUEST SUMMARY

SECTION 4: EVENT OR PROJECT DETAILS

SECTION 5: BUDGET AND AMOUNT REQUESTED

SECTION 6: PAYMENT DETAILS

Direct Payment Request Details

Reimbursement Request Details

SECTION 7: POLICY ACKNOWLEDGMENTS

Tournament Prize Money Acknowledgment

SECTION 8: REQUESTOR CERTIFICATION

SECTION 9: BOARD REVIEW AND DECISION

BOARD REVIEW AND DECISION

SECTION 10: PAYMENT PROCESSING

PAYMENT PROCESSING

ATTACHMENTS CHECKLIST

Donate Form

FUNDING REQUEST FORM

Sin City Fire Department Sports

INSTRUCTIONS

SECTION 1: REQUESTOR INFORMATION

SECTION 2: REQUEST PATH

SECTION 3: REQUEST SUMMARY

SECTION 4: EVENT OR PROJECT DETAILS

SECTION 5: BUDGET AND AMOUNT REQUESTED

SECTION 6: PAYMENT DETAILS

Direct Payment Request Details

Reimbursement Request Details

SECTION 7: POLICY ACKNOWLEDGMENTS

Tournament Prize Money Acknowledgment

SECTION 8: REQUESTOR CERTIFICATION

SECTION 9: BOARD REVIEW AND DECISION

BOARD REVIEW AND DECISION

SECTION 10: PAYMENT PROCESSING

PAYMENT PROCESSING

ATTACHMENTS CHECKLIST

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