24.05.2014 Views

Standard Form 424 (R&R) - HRSA

Standard Form 424 (R&R) - HRSA

Standard Form 424 (R&R) - HRSA

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INSTRUCTIONS FOR R&R PROJECT PERFORMANCE SITE LOCATION(S) FORM<br />

Indicate the primary site/sites where the work or activity will occur. If a portion of the<br />

project is at any other location(s), identify it in the section provided. If more than eight<br />

project/performance site locations are proposed, provide the information in a separate file<br />

and attach these in a file in the space provided at the bottom of the form. If applying in<br />

paper add this information as part of the appendix.<br />

Enter the Primary Performance Site first. Add all other performance sites in the space<br />

provided.<br />

Field name<br />

Organization<br />

Name<br />

Street 1<br />

Street 2<br />

City<br />

County<br />

State<br />

Zip Code<br />

Country<br />

Instructions<br />

Enter the Name of the Performance Site/Organization<br />

Enter the first line of the street address of the performance site location<br />

Enter the second line of the street address of the performance site location,<br />

if applicable<br />

Enter the city of the performance site.<br />

Enter the county where the performance site is located.<br />

Select from the list of States or enter the State/province in which the<br />

performance site is located<br />

Enter the zip code of the performance sit location<br />

Enter the country of the performance site from the list<br />

8

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