State Homeland Security Grants Program (SHSGP) Forms
- A-19 INVOICE VOUCHER (Word) (PDF)
- Use this when a local jurisdiction is submitting expenditures for reimbursement.
- EFT payments can include LOCAL determined email text, limited to thirty (30) characters, to assist with tracking payments when they arrive into their electronic accounts. See A19 Sample (PDF) for instructions.
- REIMBURSEMENT WORKSHEET (Excel)
- Attach this form to the A-19 Invoice Voucher.
- MATCH DOCUMENTATION FORM (Excel)
- Attach this form to document any match requirement.
- CONTRACT AMENDMENT REQUEST FORM (Word) (PDF) & BUDGET WORKSHEET (Excel)
- Use these two forms 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.
- EQUIPMENT APPROVAL REQUEST FORM (Excel)
- Use this form when a local jurisdiction requests pre-approval for equipment purchases from the Committee on Homeland Security Equipment Subcommittee, which meets the first Wednesdays of the month.
- ENVIRONMENT AND HISTORIC PRESERVATION (EHP) COMPLIANCE REVIEW TEMPLATE
(Word)
- Use this form when a local jurisdiction requests pre-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)
- TRAINING COURSE REQUEST FOR APPROVAL AND AUTHORIZATION (Word)
- Use this form when a local jurisdictions wants to attend training courses that are not on the federal sponsored, state sponsored or TEI sponsored course catalogs.
- Training Course Request Sample Forthcoming (Adobe PDF)
- 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
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