HomeMy WebLinkAboutACRP_ApplicationCITY OF PALM DESERT
DEPARTMENT OF ECONOMIC DEVELOPMENT
73510 Fred Waring Drive, Palm Desert, California 92260
Phone (760) 776-6441 ▪ Fax (760) 776-6417 ▪ msalazar@palmdesert.gov
UNITE PALM DESERT AUTISIM CERTIFICATION REIMBURSEMENT
(ACRP) PROGRAM APPLICATION
Business/Property Owner Name:
Business/Property Owner Address:
Applicant/Representative Name:
Mailing Address:
City: State: Zip:
Phone: Email:
1. Applicants must be a Priority I business, which includes Hospitality and Tourist Attractions only.
2. Application must include ACRP application and IBCCES certification.
3. Grant is available until funding is no longer available.
Submission: Unite Palm Desert Autism Certification Reimbursement Program Application must be submitted by email to
msalazar@palmdesert.gov or via mail at City of Palm Desert, 73-510 Fred Waring Drive, Palm Desert, California 92260,
Attn: Economic Development Division.
Applicant/Representative Signature: By signing this application, I certify that the information provided is accurate. I
understand that the City might not approve what I am applying for and/or might require conditions of approval.
Print Name: Signature: Date:
Property Owner Signature of Approval (if property owner is not the applicant)
Print Name: Signature: Date:
OFFICE USE ONLY
Date Received: Approved: __ Yes __No Date Approved: