Application Forms

Please Remit Applications & Reimbursements to:

Energy Infrastructure and Impact Office
1707 North 9th Street
PO Box 5523
Bismarck, ND 58506-5523

Email: energyimpact@nd.gov
Fax: 701-328-3650
Phone: 701-328-2800

 

Remit ACH Electronic Payment Authorization Form with a voided check or savings withdrawal slip are to be sent to:

Vendor Registry
600 E. Boulevard Ave Dept 012
14th Floor Capitol Tower
Bismarck, ND 58505-0310

Email: spovendor@nd.gov
Fax: (701) 328-0108
Telephone: (701) 328-2773

Coal Loan Application Forms

Application Form

Application Form (DOC)

Energy Grant Application Forms

Application Form

Application Form (DOC)

Reimbursement Forms

Reimbursement Request

Reimbursement Request (DOC)

Progress Report Forms

Progress Report

Progress Report (DOC)

Travel Reimbursement Form

Training/Travel Reimbursement Form

ACH Electronic Payment Form

ACH Electronic Payment Authorization Form - Remit to Vendor Registry