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Capital Request Form - Non-Vehicle Related

  1. Note this form is intended for submission by Department Heads only.

    If you are a resident and have an item that you would like to see as a potential capital expenditure explored by a town department, please submit a brief description to the Chair of the Capital Planning Committee and you will receive a response and update on potential next steps.

  2. Fiscal Year Requested*
  3. Please provide a general overview of the project and the proposed benefit to the town.

  4. Select how your project fits into one or more of the following conditions from the town's Capital Plan*

    Select all that potentially apply

  5. Elaborate on how your project fits into one or more of the following conditions from the town's Capital Plan selected above. Specifically address if you believe there are energy efficiencies or reduction to carbon footprint coming out of this project.

  6. This amount should be the total cost of any project, including contingencies. If the project is expected to be bonded, the Finance Team will determine the term and interest cost associated.

  7. Expected Funding Source*
  8. Include any and all details related to potential grant funding in this section, as well.

  9. Files must be less than 5 MB.

    Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.

  10. Files must be less than 5 MB.

    Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.

  11. Leave This Blank:

  12. This field is not part of the form submission.