Private Road Grant - Maintenance Activities

This private road grant is intended to assist eligible private road associations with operating and maintenance costs for private roads/lanes.

Please read the Private Road Grant Policy - Maintenance to ensure you have the information necessary to complete this form.

Due date for the application is October 31. Funds will be allocated the following spring.

Road / Lane Name (s)

Intersecting Township / County Road

Association Name

Number of Members in Road Assoc.

Estimated length of private road (km)

Please list names of all lanes that are included in your membership.

President's Name

President's Mailing Address including Postal Code

President's Email Address

Treasurer's Name

Treasurer's Mailing Address including Postal Code

Treasurer's Email Address

Secretary's Name

Secretary's Mailing Address including Postal Code

Secretary's Email Address

If approved, who will be receiving payment on behalf of the Association?

President

Treasurer

Secretary

If approved, grant funds will be issued by Electronic Funds Transfer (EFT). Please indicate if bank account can receive EFT payments.

Yes

Name of Applicant

Phone Number

Email Address