2025 0130 MVD DPOC COUNTY AWARD CLAIM FORM.PDF
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A E STA COD ae County Claim for = vr 2025 MVD - DPOC Verification Pursuant to an Interagency Service Agreement ISA) with the Governor’s Office, the Arizona Secretary of State has been awarded federal ARPA funds to help defray the costs of verifying Documented Proof of Citizenship (DPOC) related to the MVD data issue. Counties are eligible for funding to cover direct and indirect costs of sending notice letters to voters and associated staffing using the distribution formula below: Number of Amount Per County Percentage Base Amount Percentage of Total Impacted Voters Impacted Voter Apache 3,502 1.79% $6,500.00) $1,746.57 $8,246.57 Cochise 4,859 2.49% $6,500.00) $2,423.35] $8,923.35 Coconino 5,335 2.73% $6,500.00) $2,660.75} $9,160.75 Gla 3,281 1.68% $6,500, 00) $1,636.35) $8,136.35 Graham 41,531 0.78% $6,500.00) $763.56) $7,263.56 Greenlee 362 0.19% $6,500.00) $180.54) $6,680.54 LaPaz 498 0.25% $6,500.00) $248.37 $6,748.37 Maricopa 100,359 51.34% $6,500.00) $50,052.44] $56,552.44) Mohave 4,259 2.18%! $6,500.00 $2,124.11 $8,624.11 Navajo 6,279 3.21% $6,500.00) $3,131.55) $9,631.55) Pima 31,109 15.91% $6,500.00 $15,515.12) $22,015.12 Final 16,844 8.62%! $6,500.00 $8,400.68) $14,900.68) Santa Cruz 1,813 0.93%| $6,500.00 $904.20] $7,404.20) Yavapai 11,058 5.66%! $6,500.00 $5,515.00 $12,015.00} Yuma 4,406 2.25% $6,500.00! $2,197.42 $8,697.42| Total 195,495 100.00%| $97,500.00! $97,500.00] $195,000.00} Please complete and return the attached County Claim for 2025 MVD - DPOC Verification form Gensell@azsos.gov no later than February 15, 2025. to Greg Ensell at County Claim for jy 2025 MVD - DPOC Verification STATE Deadline for Application February 15, 2025 County: Maricopa County Date: January 29, 2025 Amount Requested: $ 56,552.44 Recorder Name: _ Recorder Justin Heap County Contact Name (For Questions About Reimbursement): Richard Greene County Contact Phone No. & Email: 602-506-2471 - rgreene@risc.maricopa.gov Payment Address: 301 W Jefferson St., Ste 705, Phoenix, AZ 85003 By signing this County Claim for 2025 MVD - MDPOC Verification, I certify that: * This is a valid claim for direct and indirect expenses related to sending notice letters to voters and associated staffing costs to verify voter MVD related DPOC. Recorder or designee: