Paint Iowa Beautiful Report

"*" indicates required fields

Organization Name*

Contact Name*

Contact Phone*

Contact Email*

Address to Send Reimbursement Check*

Please enter MAILING ADDRESS ONLY – the address to which program materials should be sent. In some cases, this may be different than the physical address of the organization. (Do not enter both a PO Box and a street address.)

Address Line 1 Address Line 2 City State ZIP Code

Date Project Was Completed*

Location of Project*

Project County*

Gallons of Paint Used*

REMINDERS: Reimbursement covers the pre-tax amount AND reimbursement covers only Diamond Vogel coatings (paint, stain and primer) in 1-gallon or 5-gallon containers only (no quarts/quarter gallons).

Describe Your Completed Project (Please include how this project benefitted your community)*

What is the total monetary value of the entire painting project?*

Please consider items such as: Total paint used (not just paint purchased from the grant award), paid labor, supplies other than paint, costs associated with the project other than painting (construction, etc).

How many volunteers participated? (if none, enter N/A)*

How many total volunteer hours were contributed for this project? (if none, enter N/A)*

Please provide an estimate of the total project volunteer hours. This is how many volunteers multiplied by the number of hours they worked. For example, if you had 5 volunteers working 5 hours each, your total would be 25.

Upload a Photo of Your Project*

Max. file size: 128 MB.

Upload Your Award Letter*

Max. file size: 128 MB.

Upload Your Invoice from Diamond Vogel*

Max. file size: 128 MB.

Keep Iowa Beautiful may feature photos of your Paint Iowa Beautiful projects on our social media channels and website to showcase your efforts.

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