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DTPID Post-Event Reimbursement Form

Submitted 30 days after Event Ends

I certify that the information submitted in this application is factually true and correct to the best of my knowledge. I further understand that any false statements may result in denial or revocation of funding.

Contact Information:

Organization Information:

Event Information

Calculated Eligible DTPID Funded Amount Based on Actualized Performance:

Use the SAME method of computing the actual incremental room night code and fill in the appropriate blank:

  • Please pick an estimation Choice.
  • Actual total number of attendees of the event multipled by factor
  • Actual number of trackable Hotel room nights through Hotel Booking Codes
  • Actual total number of ticket sales sold or registrations from outside of the DFW Metropolitan Statistical Area (MSA) multiplied by factor.
  • x 0 = 0 Total Room Nights

Let's do the Math:

  • Your actual number of Hotel Room Nights as determined above
  • Multiplied by Average Hotel Rate (use $168 per night or your Booking Code Rate) to get Total Revenue
  • Divide Total Revenue by 10 to get the 10:1 required ROI = Final Eligible DTPID Amount

Hotel Room Nights

x Avg. Room Rate $

= Total Revenue $0 10 (for ROI) =

$ 0 Final Eligible DTPID Amount

Maximum Amount per Fiscal Year Allowed: $35,000

DTPID Funds:

Please complete the "Calculated Eligible DTPID Funded Amount Based on Actualized Performance" before filling in this section

DTPID Funds Pre-Approved (as stated in approval letter):
DTPID Funds Available (actual performance-based calc):


Less Any Advance Payment (Non-Profit Organizations):
Final Payment Due

Event Budget Information:

Please complete the "Total Event Budget" field

Total Event Budget $
Total DTPID Funds ($35,000 max): $0
DTPID as a % of Total (35% max): 0%

How you spent the DTPID Dollars:

Make sure that "Total DTPID Funds" and "Final Eligible DTPID Amount" are equal. Use all fields that apply.

Event Marketing:
Event Staffing:
Event Production:
Other (fill in explanation):


Please match this number to Final Eligible DTPID Amount: $0

Applicant, when submitting this Event Application Package, acknowledges the information contained herein as accurate and agrees to review of all related event materials and final support documentation prior to DTPID payment.

Please add additional information to 'tell the story'

If you have any questions, please contact Maribeth Lysen at (214) 571-1028 or Maribeth@dallastpid.com

Please send the supplemental documents as an attachment to Maribeth@dallastpid.com

Print this screen for your records before submitting. (Control+P or Command+P)