Funding Request / Application Form

To submit a request you must be a Park County Sheriff’s Office Employee.

County Budget:


Foundation Request:




**FOR BOARD USE ONLY**

❍ Date submitted at board meeting: _________________________________
❍ Approved ❍ Declined ❍ Revised

Signature from Treasurer: _________________________________________

❍ Request for further information: ___________________________________ ____________________________________________________________

❍ Requestor advised: ____________________________________________

Date ___________ By Liaison Sgt J Harris

Please send a project budget to pcsocharitablefoundation@gmail.com.

The PCSO Charitable Foundation is a non-profit tax-exempt corporation organized under the laws of the State of Wyoming and Section 501©(3) of the Internal Revenue Code of 1986 as amended. By completing this form the requester agrees to utilize all funds in such a way as to never endanger the Foundation’s exempt status as determined by the IRS code governing 501©(3) public charities.