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Forms

Grant Forms

2-101 Grant Subaward Face Sheet

2-102 Grant Subaward Contact Information

2-103 Grant Subaward Signature Authorization

2-104 Grant Subaward Certification of Assurance of Compliance

2-106a Grant Subaward Budget Pages Multiple Fund Sources

2-106b Grant Subaward Budget Pages Single Fund Source

2-107 Grant Subaward Budget Narrative

2-108 Grant Subaward Programmatic Narrative

2-109a VOCA Federal Fund Grant Subaward Assurances

2-109b SASP Federal Fund Grant Subaward Assurances

2-109c CJA0 Federal Fund Grant Subaward Assurances

2-109d STOP Federal Fund Grant Subaward Assurances

2-109e DNAE Federal Fund Grant Subaward Assurances

2-109f FVPS FVPA FVCO FVSA Federal Fund Grant Subaward Assurances

2-109g FSIA Federal Fund Grant Subaward Assurances

2-153 Petty Cash Victim Fund Certification

2-154 Grant Subaward Service Area Information

2-155 Volunteer Waiver Request

2-156 Non-Competitive Procurement Request

2-158 Out-of-State Travel Request

2-159 VOCA Match Waiver Request Form.pdf

2-160 Operational Agreement Summary

2-164 Independent Contractor Consultant Rate Exemption Request

2-165 Lodging Rate Exemption Request

2-201 Report of Expenditures and Request for Funds

2-202 Advance of Grant Subaward Funds Request

2-203 Report of Expenditure Submission Change Request

2-213 Grant Subaward Amendment

2-223 Grant Subaward Modification

2-231 Transfer of Intellectual Property Ownership Request

2-233 Request to Use Grant Subaward Income

2-234 Grant Subaward Income Invoice Report

Grants Management Assessment Form

Medical Forms

2-502 Forensic Medical Report Domestic Violence Examination (Print PDF or Electronic – Fillable PDF)

2-502 Instructions (Print PDF)

2-602 Forensic Medical Report, Elder and Dependent Adult Abuse and Neglect Examination (Print PDF)

2-602 Instructions (Print PDF)

2-900 Medical Report, Suspected Child Physical Abuse and Neglect Examination (Print PDF)

2-900 Instructions (Print PDF)

2-900 Protocol (Print PDF)

2-920 Mandated Suspicious Injury Report (Print PDF)

2-920 Instructions (Print PDF)

2-923 Forensic Medical Report: Acute Adult/Adolescent Sexual Assault Examination (Print PDF or Electronic – Fillable PDF)

e923 Acute Adult/Adolescent Sexual Assault Exam (Electronic – Fillable PDF)

2-923 Interested Parties Letter (Print PDF)

2-923 Instructions (Print PDF)

2-924 Forensic Medical Report, Abbreviated Adult-Adolescent Sexual Assault Examination (Print PDF or Electronic – Fillable PDF)

2-924 Instructions (Print PDF)

2-925 Forensic Medical Report, Nonacute Child-Adolescent Sexual Abuse Examination (Print PDF or Electronic – Fillable PDF)

2-925 Instructions (Print PDF)

2-930 Forensic Medical Report, Acute Child-Adolescent Sexual Abuse Examination (Print PDF or Electronic – Fillable PDF)