PAIR Letter of Application

Edward Anthony, Ph.D.

Delegated the authority to perform

The duties of the Commissioner of the

Rehabilitation Services Administration

Department of Education, RSA

______________________

______________________

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Dear Edward Anthony:

In accordance with Section 509 of the Rehabilitation Act of 1973, as amended, I am applying for a Protection and Advocacy of Individual Rights (PAIR) grant for FY ____ for such amounts, as I may be entitled to receive. The name and address of the designated agency are:

I agree to administer the PAIR program in accordance with the federal requirements in the FY ___ PAIR application package. Any modifications are listed below or provided as attachments to this letter:

State law allows payment directly to the designated agency or requires payment to be made to:

The DUNS number of the payee agency is:­­________________________.

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(Signature of PAIR Director)

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(Date)