WebGrants - Fulton County Georgia

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?

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. Click on "Help" for additional 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 Fulton County Commission District for your agency (as of January 1, 2015).
Fulton County Commission District Locator Instructions:
1. Go to: http://www.fultoncountyga.gov/commissioners
2. Go to right side menu and look for the following verbiage: “Not sure what district you're in? Enter your address below to find out!”
3. Enter street address
4. Enter City
5. Select Go
Note: If the address entered is registered in Fulton County, the results will show an address match and list the NEW Fulton County Commission District as of January 1, 2015 (i.e. District 1, 2, 3, 4, 5, or 6).

Fulton County Commission District (As of January 1, 2015)

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