50-50 Sidewalk Program Reimbursement

2. 

4. 50-50 Sidewalk Program Reimbursement Application

   
   
   <p><h3>The 50-50 Sidewalk Program provides reimbursement of up to 50% of the cost of sidewalk removal and replacement, to a maximum of $1500 per property. <br></p> <br>To apply you must submit: <ul> <li>A contractor's invoice that includes a bid breakdown showing separate costs for concrete demolition, repair, and replacement . </li> <li>Proof of payment; i.e.copy of cleared endorsed check or bank provided proof of payment</li> <h3/>

   The 50-50 Sidewalk Program provides reimbursement of up to 50% of the cost of sidewalk removal and replacement, to a maximum of $1500 per property.
   

   
   To apply you must submit:

   • A contractor's invoice that includes a bid breakdown showing separate costs for concrete demolition, repair, and replacement .
   • Proof of payment; i.e.copy of cleared endorsed check or bank provided proof of payment

6. First Name*
7. Last Name*
9. Email*
10. Phone*
    (510) 555-1212
12. Address of Sidewalk Work*
    39550 Liberty St.
13. Should the check be mailed to this address?*

    1. Yes
    2. No
15. Encroachment Permit Number*
17. Mailing Address if Different
18. City
19. State
20. Zip Code
22. Copy of Contractor's Invoice*
    Invoice shows square footage of sidewalk replaced and cost of sidewalk replacement work separate from any other work.
23. Proof of Payment*
    Copy of both sides of cleared, endorsed check, bank provided proof of payment, or credit card statement.
25. Comment or Question
27. Thank you for your application!
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field