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NC DPS »   About DPS »   Boards and Commissions »   Governor's Crime Commission »   Grant Forms

Grant Forms

Please note that not all forms are required for every funding source. Refer to your RFA for instructions on which forms are required and how to name and number them as attachments to your application.

Questions? Contact us
Application

De Minimis Certification Form

Detailed Budget Narrative Form
 
NC Human Trafficking Commission Acknowledgement Letter/Form (HT Projects Only)
 
Staffing Allocation Form
 
Sample Memorandum of Understanding
 
Sample Contract Template
 
Sample Detailed Supply List
 
Culturally Specific Organization Verification Letter
 
Legal Services Certification Letter
 
Assurance Concerning Polygraph Testing Prohibition
 
Summary of Direct and Contracted GCC Funds Form
 
Sample Template for Data Breach or Imminent Breach Procedures
 
Budget Clarification Worksheet
 
CVS FAQ
Award

Single Audit Form

Certification of No Overdue Tax Debt
 
Certifications Regarding Lobbying; Debarment; Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements
 
Employment Eligibility Verification Form
 
Advanced Determination of Suitability Form
 
NCID Acceptable Use Policy
 
Confidentiality Assurance Form
 
Civil Rights Compliance Forms
  • Compliance Checklist
  • Video Verification Form
  • Responsibilities and Requirements Form

Policy for Reporting Workplace Incidents

 

 

Post-Award
Prior Approval for Out of State Travel Form
 
Property Control Record and Equipment Certification Form
 
Contract Excess Rate Request Form
 
Pre-Contract Request Form
 
Reimbursement Documentation Checklist
 
Expense Reimbursement Cover Pages
  • Contractual
  • Equipment
  • Personnel
  • Supplies
  • Travel
Time and Activity Forms
  • Multiple Funding Sources
  • Match or Single Funding Source
State Grant Compliance Reporting Forms
  • Reporting Level Instructions
  • Level 1 Forms
  • Level 2 Forms
  • Level 3 Forms
Vendor Electronic Payment Form
 
Sole Source Provider Request Form
Other

Discrimination Complaint Forms

Governor's Crime Commission

  • About the Governor’s Crime Commission
  • The Grant Process
  • Resources
  • Contact Us
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  • Grant Forms
  • Newsletters

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NC Department of Public Safety

Physical Address: 
512 North Salisbury Street, Raleigh
 
Mailing Address:
4201 Mail Service Center, 

Raleigh, NC 27699-4201
 

919-733-2126

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NC DPS
https://www.ncdps.gov/about-dps/boards-and-commissions/governors-crime-commission/grant-forms