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Please fill out this form in its entirety. All narrative sections must be in plain English. This form in part or in whole could be made public. Please be aware that if your organization submits a request prior to the release of the President’s Budget Request for Fiscal Year 2025, you will be responsible for confirming or revising your request.

This form must be completed and submitted by April 9, 2024 – late requests will not be considered. 

Statement of Interest: Senator Manchin’s staff is available to provide feedback and to discuss proposals before submission. A statement of interest, including a short description of the project and a general budget for the proposal, may be submitted to, and a staff member will contact you to discuss your proposal.

Please note the following:

This form is for congressional directed spending items, also known as earmarks. If you are making a programmatic request, please go to and fill out the corresponding form.

Only public and non-profit entities may request congressionally directed spending items.

If you are submitting this request on behalf of another organization, or if you are not the main contact for the project, please list the Point of Contact's information under Section 1, Personal Information. Additionally, if applicable, please list your name under Section 2, Question 10: Lobbyist/Consultant Name. 

All requests must include at least TWO (2) letters of support from third parties within the community or state. Some agencies and accounts require specific letters from relevant state or federal agencies. Otherwise, these letters must communicate the benefits that the request would confer upon the community.