Contribute to Prompt Payment Efforts
1.
Organization Name:
2.
Your Name:
3.
Your e-mail address:
4.
Can we publish your organization's name in our report to the State of Alaska? (Your answers will remain confidential if you select no)
Yes
No
Other (please specify)
5.
Which part of the state are your services delivered? (select all that apply)
Anchorage
Kenai Peninsula
Interior
Southwest
Arctic
Mat-Su
Southeast
Chugach/Copper River
Aleutian/Kodiak
6.
Which state department do you receive funds (grants/contracts) from?
Administration
Commerce, Community & Economic Development
Corrections
Education & Early Development
Environmental Conservation
Family and Community Services
Fish and Game
Health
Labor & Workforce Development
Law
Military and Veterans Affairs
Natural Resources
Public Safety
Revenue
Transportation & Public Facilities
Other (please specify)
7.
In the last two years, what is the maximum length of time that your organization has waited for payment?
1 month
3 months
6 months
9 months
12 months
more than 12 months
None. We have not waited for payment.
8.
What is the amount of funds have you waited for (or are currently waiting for)?
Less than $50,000
$50,000 - $250,000
$250,000 - $500,000
$500,000 - $1 million
more than $1 million
9.
Briefly describe the impact of the delayed payments:
10.
Are you willing to testify before the Alaska State Legislature if needed?
Yes
No
Other (please specify)