Digital Imaging Program Fund Grant Request Form

Agency Information

Project Description

Describe the purpose and description of the project, benefit to the agency, scope of the project, size of the project, timeline for the project completion
Please include a detailed cost breakdown of the vendor's service costs. Also, provide information identifying when fund disbursements are required to meet the vendor payment obligations.3. Cost estimate of the project. Please include a detailed cost breakdown of the vendor’s service costs. Also, provide information identifying when fund disbursements are required to meet vendor payment obligations. A written estimate from the State Use Vendor is required. Applications will not be accepted without a written estimate from the State Use Vendor. The following link provides contact information for the State Use Vendor. http://www.ksstateuse.org/content.asp?MerchantID=KSSTATE1&ContentID=AgencyBTCO
4. Will the agency contract with the vendor to ensure the information will be delivered, handled, and stored in a secure manner in accordance with applicable Federal and State requirements?

Please describe the methods of access (within agency and to public if applicable), agency use, and digital storage.