Employee Sponsored Request Application

UGI is happy to support organizations and programs of importance to our employees as budget allows. Please complete this form with any necessary documentation. You will be notified of the status of your request within 6 weeks. Preference is given to nonprofit organizations. Employees are limited to one request per year.

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Phone Number* Email*
Is the organization a 501(c)(3) registered non-profit organization?*
Please select Community Program*
Please describe how the funds will be used to support the Community Program indicated above*
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How will this gift be used?*
What is your relationship to the organization?*
Are employees needed to support the event?*
If employees are needed, please explain.
Please attach W-9 Form*
Supporting Documents