FY22 FVPSA ARP Header Image

FY2022 Family Violence Prevention and Services Act (FVPSA)

American Rescue Plan (ARP) Supplemental Funding Program

Request for Applications

CFDA 93.671

Use this online form to complete and submit the application. Refer to the FY2022 FVPSA ARP Supplemental Grant Request for Application located at CJCC's Funding Opportunities page for instructions and details about this funding opportunity. In the event that you must exit this application prior to completion please click the "Save Answers and Resume Later" link to ensure that your information is saved.

Applicant Agency

Applicant Mailing Address*
Last four digits following the basic five-digit zip code

Click here to lookup your Zip+4.

Is the Implementing Agency for this project the same as the Applicant Agency?*
The implementing agency is defined as the entity actually administering the program or project and/or providing the service(s).
Implementing Agency Mailing Address*
Is the mailing address the same as the Implementing Agency's physical address?*
Physical Address*
Last four digits following the basic five-digit zip code

Click here to lookup your Zip+4.

Applicant Agency Continued

Is your agency registered in the System for Award Management (SAM)?*
SAM Expiration Date:*

Before you continue please take note of the following:

Your agency must be registered in System for Award Management (SAM) Database before it will be allowed to draw down funding. To register please visit https://www.sam.gov/SAM/.

(5%) Local Victim Assistance Programs

LOCAL VICTIM ASSISTANCE PROGRAM (LVAP) CERTIFICATION OVERVIEW:

The CJCC is responsible for publicizing rules governing the certification of victim assistance programs in Georgia. These rules shall provide for the certification of programs which are designed to provide substantial assistance to victims of crime in understanding and dealing with the criminal justice system as it relates to the crimes committed against them. Certification permits local victim assistance programs to request funding through their County Board of Commissioners from a fund derived from a five percent penalty added to fines in all criminal and criminal ordinance cases specifically to fund direct victim assistance programs.

Notes:

  • All CJCC subgrantees are required to maintain 5% certification regardless of receipt of such funds.
  • CJCC is not involved in awarding 5% funds.
  • Funding is not guaranteed.


CLICK HERE TO ENSURE YOUR AGENCY IS LISTED ON THE STATE OF GEORGIA CERTIFIED AGENCIES DIRECTORY

Is your agency listed on the 2020-2022 State of Georgia Certified Agencies Directory?*
You must be a certified (5%) Local Victim Assistance Program to be eligible to receive VOCA funds

Before you continue please take note of the following:

Your agency must be certified to receive 5% funds before it will be allowed to draw down funding. To meet this requirement please click here to learn more and/or certify your agency to receive 5% funding.

Designation of Grant Officials

  • Project Director - This official must be an employee of the applicant agency or from a contractor organization, at the applicant’s option, who will be directly responsible for operation of the project. This person will be the primary contact for the application and the post-award phase.
  • Financial Officer - This person must be the chief financial officer of the applicant agency such as the county auditor, city treasurer or comptroller.
  • Authorized Official - This person is the official who is authorized to apply for, accept, decline or cancel the grant for the applicant agency. This person must be the executive director of a state agency, chairperson of the county Board of Commissioners, mayor, or chairperson of the City Council. All official correspondence regarding the grant and the application (assurances, disclosures, certifications, award documentation, subgrant expenditure reports, subgrant adjustment reports) must be signed by the authorized official. Once an award has been made, the authorized official may designate someone to sign this documentation by submitting a letter on agency letterhead to the Council.


Please Note: No two officials can be the same person.

Project Director

PD Name*
PD Address*

Financial Officer

FO Name*
FO Address*

Authorized Official

AO Name*
AO Address*

Service Area & Congressional District

Select the counties within your primary service area. Service area is defined as counties in which you actively perform outreach and have relationships with victim service providers, prosecution, law enforcement and/or the courts.

Counties Served by the Project*
Congressional District(s) to be served:*
Primary Service Area(s)

Please click here look up Congressional Districts.

Project Description

Please indicate the purpose area you are responding to:*
Check all that apply

Problem Statement

Agency/Project Budget

Agency Fiscal Year: Start Date*
Agency Fiscal Year: End Date*

Agency/Project Budget Continued

$
Please refer to the allocation chart in the RFA. Agencies are not to apply for more than is allotted.
$

Attachments

No File Chosen
File uploads may not work on some mobile devices.
No File Chosen
File uploads may not work on some mobile devices.
Blank worksheet can be dowloaded from https://cjcc.georgia.gov/grant-forms-publications/application-award-documents
No File Chosen
File uploads may not work on some mobile devices.
i.e. job descriptions, quotes, contracts
No File Chosen
File uploads may not work on some mobile devices.
MOUs, Letters of Support, etc.

BY ENTERING MY NAME BELOW, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL STATEMENTS AND DATA IN THIS APPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE AUTHORIZED OFFICIAL OF THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES.
Name*
Save and Resume Later
Progress
Form secured by Formstack
Form secured by Formstack
Powered by Formstack Create your own form