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!

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

    This field is not part of the form submission.

31. Submit

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