State Homeland Security Grants Program (SHSGP) Forms

  • A-19 INVOICE VOUCHER (Word) (PDF)
    • Use this when a local jurisdiction is submitting expenditures for reimbursement
  • REIMBURSEMENT WORKSHEET (Excel)
    • Attach this form to the A-19 Invoice Voucher
  • CONTRACT AMENDMENT REQUEST FORM (Word) (PDF) & BUDGET WORKSHEET (Excel)
    • Use these together when a local jurisdiction needs to amend an open contract
  • BI-ANNUAL PROGRESS and CLOSEOUT REPORT (Word) (PDF)
    • Local jurisdictions file this report at predetermined intervals
  • HSGP CONFERENCE ALLOWABILITY DETERMINATION WORKSHEET (PDF)
    • Use this checklist when a local jurisdiction wants to self-determine if a conference attendance is allowable
  • HSGP REQUEST FOR CATASTROPHIC INCIDENT REIMBURSEMENT (PDF) (Word)
    • Use this form when a local jurisdiction requests approval for non-terrorism related grant expenditure
  • HSGP EQUIPMENT APPROVAL REQUEST FORM (Excel)
    • Use this form when a local jurisdiction requests approval for equipment purchases from the Committee on Homeland Security Equipment Subcommittee, which meets the first Wednesdays of the month.
    • HSGP EAR SAMPLE (Adobe PDF)
  • ENVIRONMENT AND HISTORIC PRESERVATION (EHP) COMPLIANCE REVIEW TEMPLATE (Word)
    • Use this form when a local jurisdiction requests approval from FEMA & DHS for potential effects related to ground disturbances, historical buildings and environmental impacts specifically regarding Communication Towers, Physical Security Enhancements or when equipment installation creates ground disturbances (trenching, pads, utilities, access).
    • HSGP EHP SAMPLE (Adobe PDF)

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