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Capital Request Form - Vehicles

  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 as many details as possible that describe the vehicle you are looking to acquire, the purpose that the vehicle serves in your department, and the services that it allows you to provide to residents.

  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. Files must be less than 5 MB.

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

  7. New Or Used*
  8. This amount should be the total cost including any equipment that may be installed in the vehicle.

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

  11. Consultation is recommended with John Parent on a response to this question

  12. Files must be less than 5 MB.

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

  13. Files must be less than 5 MB.

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

  14. Leave This Blank:

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