Recovery Services Optional Pay for Performance (BASE)

Description of RSO Pay for Performance Measures

You can earn up to $15,000 by completing optional activities outlined in Section 1.d.v. of your grant agreement. There are ten activities, each valued at $1,500.

All activities must be completed by June 30, 2026, and documentation must be submitted by July 15, 2026. A single payment for the completed activities will be made once the documentation has been reviewed and approved.

Version 1.1
KJM/ 01.15.2026

1. Contact Info *This question is required.

Grantee Name: *This question is required.

First Name *This question is required.

Last Name *This question is required.

Phone # *This question is required.

Email *This question is required. This question requires a valid email address.

Would you like anyone else to receive a copy of this report and a confirmation email? *This question is required.

Additional Contact Person
First & Last Name: *This question is required.

Email Address for additional contact person: *This question is required. This question requires a valid email address.