Form Center

2. APPLICATION FORM
4. Description

   The FPRA Paint Program provides financial assistance through a reimbursable grant of up to $1,000 per home or business. This grant can be used towards both the cost of exterior paint and paint supplies, with a maximum limit of $100 for paint supplies. (The paint supplies covered by the grant include items such as brushes, rollers, trays, and paint tape but does not include the cost of renting or purchasing painting equipment.)
   The funds will be distributed on a first come, first served basis. 

   Read full grant program overview and eligibility requirements, here: FPRA Paint Program Overview

6. Property Details:
8. Parcel ID Number:*

   If you do not have your parcel ID, visit https://www.paslc.org/property-search/ to obtain.

10. Property Address:*
12. Property Owner's Name:*
14. Lease Term (if applicable):
16. Number of years at current address:*
20. Applicant Information:
22. Applicant Name:*
24. Applicant Title (Business Owner, Property Owner, Business Partner, etc):*
26. Email Address:*
28. Phone Number: *
32. Business Information (if applicable):
34. Legal Business Name:
36. Business Type (Restaurant, Retail, Office, etc):
38. Employer Identification Number / Tax ID:
40. Number of years in business:
41. Number of years at this location:
45. Required Documentation:
47. If applicant is the tenant, attach a copy of lease:
49. If applicant is tenant, attach Owner Affidavit:

    For owner affidavit form, click here.

51. Color photograph of the exterior of the property visible from the street (1 of 2):*
53. Color photograph of the exterior of the property visible from the street (2 of 2):*
55. Paint Project Details:

    The paint project must be completed within 60 days of application approval. Failure to do so will result in the denial of the reimbursement request.

    Any paint project completed prior to FPRA staff approval will not be eligible for reimbursement.

57. Estimated paint project start date: *
58. Estimated paint project completion date:*
60. Suggested Color Palette
    Click Here
62. Paint Swatch or Paint Brand Name and Color: (Upload a saved image of paint swatch)*

    *** Properties located in a Historic District may need a separate approval by the Planning Department. 

64. *** A staff member will contact you via email within five (5) business days of receiving your application to determine your eligibility.

    ***Once you have has been notified that your application has been approved, you may proceed to purchase the paint and paint supplies at the retailer of your choice and paint your property. 

66. Signature:
68. Electronic Signature*

    I certify that I have read FPRA Paint Program overview and eligibility requirements, and that the information provided in this application is true and accurate to the best of my ability and no false or misleading statements have been made to secure approval of this application. 

    By typing your name in the box above, you are signing the document electronically. You agree that your electronic signature has the same validity as your handwritten signature. 

    There is no guarantee that funding will be available for every application submitted, including those that meet the required criteria.

    Any paint project completed prior to FPRA staff approval will not be eligible for reimbursement.

    The paint project must be completed withing 60 days from the notification of approval. Failure to do so will result in a denial of reimbursement request. 

Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field