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Personal Information
Salutation
               
Salutation First Name Middle Name Last Name
Title
What is your role in managing grants with RPOSD? (primary contact, authorized or designated signer, accounting manager, etc.)
Department Name*
Phone*
       
Phone Ext.
Email*
Confirm Email*
Address*


*
           
City State/Province Postal Code/Zip

Organization Information
Agency/Organization Name*
Agency/Organization Type
What is your Agency/Organization Type?*
Agency/Organization Contact Information
Agency/Organization Website
Agency/Organization Phone*
       
Ext.
Physical Address
All paper-based grant-related correspondence will be mailed to this address, unless a different address is provided below.
Agency/Organization Physical Address*
*
           
City State/Province Postal Code/Zip
Is this the same as the Mailing Address?* Yes No
Mailing Address
Skip this if Mailing Address is the same above.
Mailing Address
           
City State/Province Postal Code/Zip
Agency/Organization Financial Information
Tax ID*
LA County Vendor ID Number
REMINDER: You are required to have a current Vendor ID. Please verify your Vendor information and update if necessary.

Review Vendor information on file: Click HERE

Update Vendor information on file: Click HERE

Obtain Vendor ID: Click HERE

Our Agency has a current registered Vendor ID* Yes No
Direct Deposit
REMINDER: Per the Los Angeles County Policy on Direct Deposit, all agencies doing business with the County must use Direct Deposit.

For Assistance with Enrolling in Deposit: Click HERE

For Instructions on Completing Direct Deposit: Click HERE

For information on the County's policy regarding Direct Deposit: Click HERE

Our Agency is*
Comments
Information Required From All Agencies/Organizations
NOTE: All registrants must review RPOSD grant agreement terms in order to determine ability to meet minimum requirements and long-term obligations. The grant agreement is available for review on the RPOSD website.
If you have any concerns about grant agreement terms, contact RPOSD at info@rposd.lacounty.gov
I have reviewed RPOSD's grant agreement terms* Yes No
Indicate the type of Technical Assistance, if any, your agency/organization would like to receive: (please note: indicating that you are interested in Technical Assistance does not guarantee services)*
Please press Ctrl + Click to select multiple items
Proof of Jurisdiction Support*
Submit proof of authority from jurisdiction representatives, if available
List the ROLES/TITLES of the individuals identified as Authorized and Designated signers per your agency's adopted resolution or proof of jurisdiction support.*
Nonprofit Organizations Only
The items below are only required of nonprofit organizations:
Mission Statement
Articles of Incorporation
Proof of 501 (c)3 Status
IRS Form 990
Grants Officer Assigned
Grants Officer
*Not Required at Registration
Good Standing Status
Good Standing Yes No
*Not Required at Registration
Good Standing Status Issues, if any:

Verify Submission
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