COSLA is collecting information from IMLS grant recipients that have received cancellation notices.
This information is being collected to provide a record of the cancellations, specifically for IMLS grants.
Please submit one form for each cancellation.

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* 1. Recipient Information

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* 2. Grant Program

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* 3. Cancelled Grant Information

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* 4. Additional Comments:

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* 5. Submitted by: (optional)