FY2022 VOCA Continuation Request for Applications

CFDA 16.575

Use this online form to complete and submit the 2022 Victims of Crime Act (VOCA) Continuation Application. Refer to the FY2022 VOCA 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.

Note: This form will not allow you to save attachments. Please upload all attachments at the end, when you are ready to submit your application.

Applicant Agency

Applicant Agency Name*

Applicant Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

+4 Zip Code*

Last four digits following the basic five-digit zip code

Click here to lookup your Zip+4.

Applicant Phone*

Applicant Fax

Is the Implementing Agency for this project the same as the Applicant Agency?*

Yes No

The implementing agency is defined as the entity actually administering the program or project and/or providing the service(s).

Implementing Agency Name*

Implementing Agency Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Implementing Agency Phone*

Implementing Agency Fax

Is the mailing address the same as the Implementing Agency's physical address?*

Yes No

Physical Address*

Address Line 1

Address Line 2

City

State

ZIP Code

+4 Zip Code*

Last four digits following the basic five-digit zip code

Click here to lookup your Zip+4.

System for Award Management Registration

Is your agency registered in SAM*

Yes No

System for Award Management

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 VOCA 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?*

Yes No

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 VOCA 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 board chair/president of a non-profit, 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, sub-grant expenditure reports, sub-grant 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*

Prefix

First Name

Last Name

PD Title/Position*

PD Address*

Address Line 1

Address Line 2

City

State

ZIP Code

PD Email*

PD Phone*

PD Fax

Financial Officer

FO Name*

Prefix

First Name

Last Name

FO Title/Position*

FO Address*

Address Line 1

Address Line 2

City

State

ZIP Code

FO Email*

FO Phone*

FO Fax

Authorized Official

AO Name*

Prefix

First Name

Last Name

AO Title/Position*

AO Address*

Address Line 1

Address Line 2

City

State

ZIP Code

AO Email*

AO Phone*

AO Fax

Agency Description Cont.

Provide an abstract/summary of the VOCA funded project.*

Please limit your response to 2000 characters or less.

Provide a brief description of your agency.*

Please limit your response to 2000 characters or less.

Provide a description of the need for the project.*

Please limit your response to 2000 characters or less.

Provide a description of the expected outcomes for the project; ensuring to include the anticipated number victims to be served.*

Outcomes may include survivor's immediate safety, survivors increased awareness of options, community's improved responses to survivors, and public's increase knowledge about the issue. Please limit your response to 4000 characters or less.

Will there be a change in your agency's project scope from the prior grant cycle?*

Yes No

Please provide an explanation in the agency's change in program scope.*

Agency Description Cont.

What additional changes have you made to service provision due to COVID-19?*

Please limit your response to 2000 characters or less.

Are you currently offering remote or mobile services and how are those being offered?*

Please limit your response to 2000 characters or less.

How have fundraising efforts been impacted due to COVID-19?*

Please limit your response to 2000 characters or less.

Agency/Project Award Information

Current VOCA Subgrant Number*

example: C15-8-999

Indirect Cost

Is your agency electing to use an indirect cost rate?*

Yes No

By electing to use an indirect cost rate, the grant applicant understands that it will be subject to additional oversight verifying that the expenses allocated are allowable as determined by the applicable Federal program guidelines that govern the program.

Indirect Cost Continued

Has your agency ever negotiated a federal indirect cost rate?*

Yes No

Your agency is prohibited from electing to use the de-minimus indirect cost rate due to your agency receiving past approval for a federally negotiated indirect cost rate. Please provide your previously negotiated indirect cost rate.*

Is your agency electing to use the 10% de-minimis indirect cost rate?*

Yes No

10% of modified total direct costs (MTDC)

By electing to use the 10% de minimis rate, the grant applicant certifies that it has never received a federally-negotiated, indirect cost rate for any federal awards. The grant applicant shall apply this rate to all of its federal grants, until such time as the agency chooses to negotiate for a rate. The grant applicant also understands that by electing to use this indirect cost rate, it will be subject to additional oversight verifying that the expenses allocated are allowable as governed by the applicable Federal program guidelines that govern the program. Please note, that you must complete the Modified Total Direct Cost (MTDC) Calculator located in the Detailed Budget Worksheet.

By electing not to use the 10% de minimis rate, the grant applicant certifies that it has never received a federally-negotiated indirect cost rate for any federal awards. Please contact CJCC grant staff at 404-657-1956 for further instructions on how to apply for a federally-negotiated indirect cost rate.

Attachments

Detailed Budget Worksheet*

No File Chosen

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Budget Narrative*

No File Chosen

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Agency Resource Guide*

No File Chosen

File uploads may not work on some mobile devices.

Supporting Documentation for Budgeted Items

No File Chosen

File uploads may not work on some mobile devices.

e.g. salary authorization statements, job descriptions, contractual agreements, etc.

Point of Contact For This Application

POC Name*

First Name

Last Name

POC Title/Position*

POC Phone*

POC Email*

Do you want to add an alternative point of contact?

Yes No

2 POC Name*

First Name

Last Name

2 POC Title/Position*

2 POC Phone*

2 POC Email*

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.

Certification Signature*

First Name

Last Name

FY2022 VOCA Continuation Request for Applications

Applicant Agency

System for Award Management Registration

Before you continue please take note of the following:

(5%) Local Victim Assistance Programs

Before you continue please take note of the following:

Designation of Grant Officials

Project Director

Financial Officer

Authorized Official

Agency Description

Agency Description Cont.

Agency Description Cont.

Agency/Project Award Information

Service Area & Congressional District

Indirect Cost

Indirect Cost Continued

Attachments

Point of Contact For This Application