Project/Performance Site Location(s)

OMB Number: 4040-0010
Expiration Date: 08/31/2011

Project/Performance Site Location(s)
I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government,
academia, or other type of organization.
Project/Performance Site Primary Location
Organization Name:
DUNS Number:
* Street1:
Street2:
County:

* City:
* State:
Province:
* Country:
* ZIP / Postal Code:

* Project/Performance Site Congressional District:

I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government,
academia, or other type of organization.
Project/Performance Site Location 1
Organization Name:
DUNS Number:
* Street1:
Street2:
* City:

County:

* State:
Province:
* Country:
* ZIP / Postal Code:

See next page for instructions.

* Project/Performance Site Congressional District:

Project/Performance Site Location Instructions
Enter Project/Performance Site Primary Location (Required):
Indicate the primary site where the work will be performed. The primary project/performance site location
is a required section.
If a portion of the project will be performed at any other site(s), identify the site location(s) in the additional
block(s) provided. These additional sites are optional.
Field Name
Organization
Name

Input
Indicate the organization name of the primary site where the work will be performed. If a portion
of the project will be performed at any other site(s), identify the site location(s) in the block(s)
provided. (This field is not applicable for applicants using the SF 424 Individual Form Set.)

DUNS

Enter the DUNS number associated with the organization where the project will be
performed. (Note this field is not required for applicants using the SF424 Individual
Form set.)

*Street 1

Enter first line of the street address in "Street 1" field of the primary performance site location.

Street 2
*City
County
*State
Province

Enter second line of the street address in "Street 2" field for the primary performance site
location.
Enter the City for address of the primary performance site location.
Enter the County for the performance site location.
Enter the State where the primary performance site location is located. This field is required if
the Project Performance Site is located in the United States.
Enter the Province where the primary performance site location is located.

Country

Enter the name of the country for the primary project performance site

*Zip Code

Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This
field is required if the Project Performance Site is located in the United States.

*Project’s
Congressional
District

Enter the Congressional District of the Primary Project/Performance location in the
format: 2 character State Abbreviation - 3 character District Number. Examples: CA005 for California's 5th district, CA-012 for California's 12th district. If all districts in a
state are affected, enter "all" for the district number. Example: MD-all for all
congressional districts in Maryland. If nationwide (all districts in all states), enter US-all.
If the program/project is outside the US, enter 00-000. To locate your congressional
district, visit the Grants.gov web site. Note it is likely that this field will be identical to
the “Congressional Districts of Applicant” field provided elsewhere in this application.

Project/Performance Site Location 1 (Optional): If more than 2 performance site locations are
proposed, this form may be duplicated as necessary.
Field Name
Organization
Name
DUNS
*Street 1
Street 2
*City
County

Input
Indicate the organization name of the site where the work will be performed. If a portion of the
project will be performed at any other site(s), identify the site location(s) in the block(s) provided.
(This field is not applicable for applicants using the SF 424 Individual Form Set.)

Enter the DUNS number associated with the organization where the project will be
performed. (Note this field is not required for applicants using the SF424 Individual
Form set.)
Enter first line of the street address in "Street 1" field of the primary performance site location.
This field is required.
Enter second line of the street address in "Street 2" field for the primary performance site
location. This field is optional.
Enter the City for address of the primary performance site location. This field is required.
Enter the County for the performance site location.

Field Name
*State
Province
Country
*Zip Code

*Project’s
Congressional
District

Input
Enter the State where the primary performance site location is located. This field is required if
the Project Performance Site is located in the United States.
Enter the Province where the primary performance site location is located.
Enter the name of the country for the primary project performance site
Enter the nine-digit Postal Code (e.g., ZIP code) of the primary performance site location. This
field is required if the Project Performance Site is located in the United States.

Enter the Congressional District of this Project/Performance site in the format: 2
character State Abbreviation - 3 character District Number. Examples: CA-005 for
California's 5th district, CA-012 for California's 12th district. If all districts in a state are
affected, enter "all" for the district number. Example: MD-all for all congressional
districts in Maryland. If nationwide (all districts in all states), enter US-all. If the
program/project is outside the US, enter 00-000. To locate your congressional district,
visit the Grants.gov web site. Note it is likely that this field will be identical to the
“Congressional Districts of Applicant” field provided elsewhere in this application.