State of Ohio American Recovery and Reinvestment Act Expression of Interest Form

Information about submitting a proposal to the State of Ohio through this website:

If you have a project or proposal that may be eligible through the State of Ohio, please fill out the form below, keeping the following in mind:

• Your project submission is not an application for funding. It is an expression of interest in applying for recovery funds.
• A separate submission form should be filled out for each proposal or project that might be eligible for funding.
• Collaborative projects and projects which leverage other funds are highly encouraged, but project collaborators should work to make sure that each project is submitted only once.
• Demand for funds far exceeds the available supply. Not all eligible programs will receive funding.
• Those who have submitted forms regarding projects that meet eligibility requirements will receive an email indicating when, where, and how to apply. In the meantime, check this website (or sign-up on the front page for updates) for any new information available. Our goal is to ensure that all potential fund applicants are treated equally and fairly and that everyone eligible has a chance to apply for funds.
• If you are an individual wanting help for yourself or your family, please do not fill out the form below as recovery funds for the programs listed on the form cannot be distributed to individuals.

Please note that we only accept submissions for specific programs administered by the State of Ohio, with due dates in the near future.

Contact Information

The point person responsible for managing the project described below.

* Required fields.

* Last name:
* First name:
* Email Address:
	I don't have email
* Phone:	Example: 614-123-4567
Title:
* Organization:
* Street Address:
* City:
* State:	Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip Code:

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Project Information

* Required fields.

* Project name: Any convenient way to refer to your project.
* Federal Stimulus Program: Choose program that you think best fits your project. If you need help, click here to view program summaries.
* This request is for (select one):	Additional funding for an existing program New funding
* Project County: If project spans more than one county, select the county from the drop box where the majority of the activity would be located.	Please select a county Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union VanWert Vinton Warren Washington Wayne Williams Wood Wyandot This project spans multiple counties
* Project Zip Code: If project spans more than one zip code, enter the zip code where the majority of activity would be located.
* Project Sponsor: The entity that will be legally responsible for the project.	Please select a sponsor Local Government State Government Not-for-profit For Profit Business Educational Entity
* Number of Ohio Jobs Created or Retained: This is an estimated figure, with currently available information. Final job figures will likely have to be justified in your final application.
* Timeframe to Start: Timeframe to begin utilization of funds from time of receipt.	Please select a timeframe 0 to 30 days 31 to 90 days 91 to 180 days 181 days or more
* Estimated Federal Stimulus Request: This is an estimated figure, with currently available information. Final request figures will likely have to be justified in your final application.	$  Example: 1,234,567.89
* Estimated Total Project Cost: This is an estimated figure, with currently available information. Final total cost figures will likely have to be justified in your final application.	$  Example: 1,234,567.89
* Brief Project Description and Expected Outcomes (preferably quantified): Example: 150 linear feet of new sewer line. Note: 1,200 maximum characters.	characters left (1,200 max)
* I have read the disclaimer above and understand the terms.
Enter the text from the picture into the adjacent form field then press 'Submit'.
You will receive a confirmation page to indicate that you have successfully submitted your proposal. If you do not receive a confirmation page, please resubmit your proposal
If you are having problems with this form, contact the Recovery Web Support team at