Equipment Grant Request Safety-Equipment Grant RequestIf you would like to request a grant for safety equipment, please fill out the form below. 2023 Grant Year is now OPEN. Thank you! If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Department Requesting Grant * Specific Equipment Proposed * Quantity * What amount is requested per unit? * Total amount requested * Please provide description of equipment if available. Please provide the reason that such an item cannot be provided for in your normal operating budget. * Are there any other sources that could provide funding? * YesNo If no, why? The studies undertaken by your department that would indicate that such item would in fact enhance the personal safety of the affected officers/firefighters. * Has your department received funding from our organization in the past five years? * YesNo If yes, please list the amount and for what equipment if known. Name of person requesting this grant: Name * Title * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Phone * Email * reCAPTCHA *
