HomeMy WebLinkAboutSH18-011 WASPC SHB 1501 FIREARM GRANT-Blank to Upload3/30/2018 1501 Grant Application - Formstack
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Agency Name:*
Agency Mailing
Address *
City
State
ZIP Code
County:*
SHB 1501 Grant Program
The Washington State Legislature, via SHB 1501, provided $150,000 in grant funding to local law
enforcement agencies to conduct criminal investigations regarding persons who illegally attempted
to purchase or transfer ×rearms within their jurisdiction. WASPC will reimburse agencies $500 per
case investigated. The grant cycle is through June 30, 2018. Funds are state pass-through funds,
through the Washington Criminal Justice Training Commission. Grants will be available on a ×rst
come, ×rst serve basis.
By early June, if WASPC has not distributed all of the funds, we will review previously submitted
grant applications and award additional funds where the expense to agencies exceeded the
previously awarded amount.
WASPC may, at its sole discretion, terminate the Grant or withhold payments claimed by the Grantee
if the Grantee fails to satisfactorily comply with any term or condition of this Grant.
Please direct any questions to Steven Briggs, NCA, at sbriggs@waspc.org or 360-486-2389.
Agency Information
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Name of Person
Completing
Application:*First Name
Last Name
Phone:*
Email:*
Agency Fiscal
Contact:*
First Name
Last Name
Phone:*
Email:*
Subject Name:*
First Name
Middle Name
Last Name
Contact Information
Investigation Information
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Agency Case Number:*
If no case number, or case number is unavailable, enter "N/A"
Did this investigation
require resources from
multiple jurisdictions?*
Yes
No
NICS Transaction
Number (NTN):
Please provide all relevant numbers (if known)
Was Subject
Investigated for a
Speci×c Offense:*
Yes
No
Was this investigation a
result of a direct
referral your agency
received from WASPC?
*
Yes
No
Was an arrest made?*Yes
No
Case Status:*
Comments on Case
Status:
How many hours were
dedicated to this
investigation?*
0.00
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What was the total cost
of this investigation to
your agency?*
$0.00
I Would Like to Report
and Additional
Investigation:*
Yes
No
Vendor Certi×cation
Agreement:*I Agree
General Terms
Agreement:*I Agree
Certi×cations
Vendor Certi×cation:I agree that by submitting this form to claim payment for
materials, merchandise or services, I hereby certify under penalty
of perjury that the information, items and totals listed herein are
proper charges for materials, merchandise or services, and that all
goods furnished and/or services rendered have been provided without
discrimination because of age, sex, marital status, race, creed,
color, national origin, handicap, religion, or Vietnam era or
disabled veteran status.
General Terms:WASPC will reimburse $500 per case investigated. The grant cycle is
through June 30, 2018. Funds are state pass-through funds, through
the Washington Criminal Justice Training Commission. Grants will be
available on a first come, first serve basis. By early June, if
WASPC has not distributed all of the funds, WASPC will review
previously submitted grant applications of its choosing and award
additional funds where the expense to agencies exceeded the
previously awarded amount. WASPC may, at its sole discretion,
terminate the Grant or withhold payments claimed by the Grantee if
the Grantee fails to satisfactorily comply with any term or
condition of this Grant. WASPC reserves the right to require, at a
time of its choosing, backup documentation to support the claim by
the grantee. Failure to produce documentation upon request may
result in non-payment or recapture of funds. WASPC also reserves
the right to recapture funds already paid for noncompliance, in a
method to be determined in the demand for recapture.
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Electronic Signature
Agreement:*I Agree
Result Information
Submit Application/Invoice
By providing this information and checking the box below, you are
providing an electronic signature authorizing your consent. RCW
9A.04.110(24) establishes "signature includes any memorandum, mark,
or sign made with intent to authenticate any instrument or writing,
or the subscription of any person thereto."
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