***Date Request Submitted: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,
2006 Priority: \_\_\_\_ of \_\_\_\_\_***

**SENATOR LISA MURKOWSKI'S FISCAL YEAR 2007 PROJECT REQUEST FORM**

**(PLEASE FILL OUT ONE REQUEST FORM FOR EACH REQUEST; PRIORITIZE EACH
REQUEST IN THE UPPER RIGHT HAND CORNER; AND ATTACH ADDITIONAL PAGES, IF
NECESSARY.)**

***\~ \~ \~ REQUESTS ARE DUE BY [MARCH 1, 2006]{.underline} \~ \~ \~***

**Name of Project:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Where is the project
located?\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Which appropriations bill (if known)?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Which agency (if
known)?\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Which account and sub-account (if
known)?\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Amount of federal funding requested for this next fiscal year:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**[Total]{.underline} amount of federal funding needed for the project:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Number of years to fund this project:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Source and amount of any matching funds (State, local, private or
other):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Was it in a prior appropriations bill(s)? \_\_\_\_\_\_\_\_\_**

**If so, which bill?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
How much has been funded?
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Is it in President Bush's Budget for FY 2007? \_\_\_\_\_\_If so, how
much? \_\_\_\_\_\_\_\_\_\_\_\_**

**Have you requested funding for this project from any other
congressional office or federal agency? If so, please list the
recipient(s) of this
request:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Is funding for this project authorized by federal law? If so, please
list the appropriate law (Public Law Number or U.S. Code
citation):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

***[Contact Information in Alaska:]{.underline}***

**Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Organization:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Work Number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Cell
Number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**E-mail Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

***[Contact Information in Washington, D.C. (if any):]{.underline}***

**Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
E-mail Address: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Work Number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Cell
Number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Project Description:**

**Project Justification:**

**Project Budget Outline:**

**This form (and any attachments) should be faxed to [(202)
224-5301]{.underline}, emailed to: requests@murkowski.senate.gov or
mailed to ([fax or email is strongly recommended]{.underline}):**

**Senator Lisa Murkowski**

**U.S. Senate**

**Washington D.C. 20510**

*Note: If you decide to only mail your request to Senator Murkowski's
office (even if it is delivered via a commercial express mail service),
please mail it several weeks in advance of the deadline since the
delivery of all mail to DC Senate offices is delayed due to biological
scanning. Also, please note that anything plastic could be damaged
during the biological scanning process.*