HelpHelp
 
 
 
  Instructions
There are two parts to the registration form, Personal Information and Organization Information. If you are registering as the contact person for an organization, complete both the Personal Information and Organization Information sections. If you are registering as an individual, complete the Personal Information section only, then answer “No” to the question “Are you Affiliated with an Organization?

 
 
 
Register 
Personal Information
Name:*
               
Salutation First Name Middle Name Last Name
Title:
Title
Email:*
Confirm Email*
Address:
Suite
City
           
City State/Province Postal Code/Zip
Phone:*
       
Phone Ext.
Fax:
What Program Area are you interested in?*

Organization Information
Are you Affiliated with an Organization? Yes No
List the official and legal name of your agency (as stated on Agency's Seal or Charter):
Agency Name:*
Note: Certain funding opportunities are only open to specific agency types (i.e. Nonprofits, Government Entities, Educational Institutions, etc.). Be sure to read the eligibility requirements for the chosen funding opportunity.
Agency Type:*
Enter EIN Number as assigned to your agency by The Internal Revenue Service (IRS)
Agency EIN-Number:
Format =XX-XXXXXXX
Enter the Federal Unique Entity Identifier (UEI) SAM Number (formerly DUNS Number). On April 4, 2022 The Federal Government transitioned from the use of the DUNS Number to the new Unique Entity Identifier (UEI) as the primary means of entity identification for Federal awards government-wide. Visit https://sam.gov for more information.
Agency Unique Entity Identifier(UEI)SAM Number (12-character alphanumeric ID):
Format =XXXXXXXXXXXX
Enter Agency E-Verify (EEV) Number as assigned by the US Department of Homeland Security - www.e-verify.gov
Agency E-Verify (EEV) Number:
Enter Fulton County Vendor Code Number (Note: Only for agencies who are currently funded or have received previous funding from Fulton County Government):
If you are a current vendor with Fulton County and need to make any address changes to your Vendor information, please contact Gibran Harris in the Purchasing and Contract Compliance Department 404-612-5907.
New agencies that are awarded grant funding must register with Fulton County as an official vendor. Registration is required before grant payments can be released.
To get to the Vendor Self Service System from the internet, enter the following URL address: https://vss.fultoncountyga.gov
Fulton County Vendor Code Number:
Agency Main Address
Note: The Agency Main address may be listed in Fulton County publications/ Directories.
Agency Main Street Address:*
       
Agency Main Suite
Agency Main City/ State/ Zipcode
           
Main City Main State Main Zip Code
Select the NEW Fulton County Commission District for your agency (as of January 1, 2023).
Fulton County Commission District Locator Instructions:
1. Go to: http://www.fultoncountyga.gov
2. Scroll to the section labeled “Top Services” and select the box for “Commission District Finder”
3. Enter street address. If address does not appear, you may need to use an abbreviated suffix when searching, such as Dr., Rd., Ln. or just enter the street number and street name without a suffix (i.e. 141 Pryor).
4. If the address entered is registered in Fulton County, the results will show an address match. Select the match and it will list the Fulton County Commission District and Commissioner (i.e. District 1, 2, 3, 4, 5, or 6).
NEW Fulton County Commission District (As of January 1, 2023)
Agency Mailing Address
NOTE: ALL GRANT – RELATED CORRESPONDENCE WILL BE MAILED TO THIS ADDRESS, INCLUDING PAYMENTS.
Agency Mailing Address:*
       
Mailing Address Suite
Agency Mailing City/State/Zip
           
Mailing Address City Mailing Address State Mailing Address Zip Code
Agency Contact Information
Agency Main Contact:
           
Salutation First Name Last Name
Position/ Title for Agency Main Contact:
Agency Main Number:*
       
Agency Main Phone Extension
Agency Fax Number:
Agency E-mail Address:
Agency Website
Agency Board Information
Board Chairperson:*
               
Salutation Board Chair First Name Board Chair Middle Name Board Chair Last Name
Board Chair Telephone Number:*
       
Board Chair Phone Extension
2nd Authorizing Official:
               
2nd Official Salutation 2nd Official First Name 2nd Official Middle Name 2nd Official Last Name
2nd Authorizing Official Telephone Number:
       
2nd Official Phone Extension

Verify Submission
Register 
 
 
 
 WebGrants
Dulles Technology Partners Inc.
© 2001-2017 Dulles Technology Partners Inc.
WebGrants 6.10 - All Rights Reserved.