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Mindful Gas Decommissioning Compensation Request Form for Workshop Host & Outreach Support
Please fill out this form to share comments with the Mindful Gas Decommissioning Project Team.
*
1.
Name
(Required.)
2.
Title
3.
Organization
*
4.
Mailing Address and Email Address
(Required.)
5.
Phone Number
6.
Tax Identification Number / Social Security Number
Please fill out a Form W-9 and email it to: cici.vu@dnv.com
W-9 Form can be found at: https://www.irs.gov/pub/irs-pdf/fw9.pdf
*Please allow up to 30 business days for disbursement to be processed.
7.
Do you require food or childcare needs during the meeting? We can provide up to $250 for accommodations.
Yes
No
8.
Please indicate the total number of hours your organization is requesting compensation for below.
Compensation Parameters: Participants will be compensated at a rate of $100 per hour for their time. Compensation includes an estimated 10 hours for pre-workshop outreach assistance and an additional 10 hours for case study engagement, as detailed below:
3-5 hours for meetings via Zoom or in person (travel to your location can be arranged).
Up to 5 hours for reviewing materials, providing feedback, and email exchanges.
Meeting Breakdown:
Meeting 1: Overview of the case study approach and a closer examination of the case study area.
Meeting 2: Deep dive into collected data to ground truth information and gather feedback on equity metrics (e.g., community impacts, socioeconomic vulnerability, climate risk, energy burden, pollution burden, access to services, environmental risk), gas pipeline integrity (e.g., safety, maintenance, costs), and decommissioning readiness related to commercial sectors (e.g., food stores, schools, health care).
Meeting 3: Presentation of the final draft of the case study profile with your feedback incorporated, followed by final revisions.
Please enter the number of hours in which your organization is requesting compensation.
