Get Charitable Donation Request Form - Connecticut State Medical ... - Csms

The Charitable Donation Request Form is an essential document for organizations seeking support from the Connecticut State Medical Society. This guide provides a clear, step-by-step approach to assist you in filling out the form accurately and effectively online.

Follow the steps to successfully complete your donation request.

1. Press the ‘Get Form’ button to access the Charitable Donation Request Form and open it in your preferred editor.
2. Begin by entering your organization's name and address in the designated fields. This should include the complete address, including city and ZIP code.
3. Fill out the contact information section. Provide the contact name and title, phone number, fax number, email address, and website, ensuring all details are accurate.
4. Input your organization's tax ID number. This is crucial for verification purposes, so please double-check the accuracy of this number.
5. Attach Form 990 as required. This document must accompany your request form for consideration.
6. Indicate whether your organization is a 501(c)3 non-profit and if you are a local chapter of a national charity by selecting 'Yes' or 'No.' Note that selecting 'No' means your request cannot be considered.
7. Provide a brief summary of your organization's mission in the appropriate field. This helps reviewers understand your organization's purpose.
8. Describe the activities your organization focuses on in the allocated space. Be concise but informative.
9. Explain how the donation will be used and who will benefit from it. Remember to note that a short written report will be required within nine months of receiving any donations.
10. List any other organizations to which you have applied for support, or that are currently providing support to your organization.
11. Indicate the age group your organization serves, such as youth or seniors, and mention any specific geographic areas or cultural groups that will benefit from your project.
12. Complete the financial sections by stating your annual budget and the amount of your request.
13. Specify to whom the check should be made payable if the donation is approved, and provide the mailing address.
14. If a donation is granted, CSMS may reach out for input and any potential media opportunities. Be prepared for this possibility.
15. Lastly, sign and date the form to confirm the authenticity of your request.
16. Once you have filled out the form, save your changes. You may then choose to download, print, or share the completed form as needed.

Complete your Charitable Donation Request Form online today for review and potential approval.