FVPSA Application and Forms
Family Violence Prevention and Services Act (FVPSA) Funding Opportunity for 2021 through 2023 is here!
The application process will be a "two-part" project this year and includes a "pre-application" competitive process as well as a "final" competitive application process.
FVPSA 2021-2023 Funding Opportunity | |||
---|---|---|---|
Form | Submit to | How to Submit | Due Date |
FVPSA Pre-Application Tool for all Applicants (DV and PS) | For applicant use only | Use to assist with submission of grant application | N/A |
FVPSA Pre-Application for 2021-2023 | For applicant use only | Submit by email to NCFVPSA@doa.nc.gov | December 29, 2020 |
FVPSA funding priorities have shifted to more specifically include service providers that have demonstrated the capacity to serve the marginalized populations identified through the NC Domestic Violence Needs Assessment, while also adhering to the reporting requirements associated with the funds. FVPSA is seeking to fund service providers that demonstrate:
- Innovative and effective practices for serving marginalized populations (including survivors);
- Enhanced capacity building for serving marginalized populations (including survivors);
- Increased family violence awareness;
- Engagement in coordination of services among community partners;
- Collaborative initiatives to reduce incidents of family violence.
This process is part of a coordinated effort that will allow NC FVPSA to respond to the U.S. Department of Health and Human Serivces Administration for Children and Families about the following:
- Providing "current underserved populations and identification process;"
- Identifying "populations targeted for outreach and services and justification;"
- Identifying services that include "children that witness family violence/domestic violence;"
- Providing teen dating violence services;
- Serving American Indians;
- Serving immigrant crime victims;
- Identifying significant barriers that impact tribal communities; and,
- Providing a description of NC's target populations anc culturally appropriate services.
FVPSA Forms |
|||
---|---|---|---|
Forms |
Submit to |
How to Submit |
Due Date |
FVPSA Monthly Reimbursement Report and Reimbursement Report Summary Page (Updated 11-6-2020) |
FVPSA Coordinator | Electronically to NCFVPSA@doa.nc.gov | 10th of each month |
FVPSA Monthly Reimbursement Report Guidance | For applicant | Use to assist with preparation of report | |
FVPSA Additonal Funds Request Form (Updated 5-21-2020) | FVPSA Coordinator | Electronically to NCFVPSA@doa.nc.gov | As needed |
FVPSA Budget Transfer Request aka BTR | FVPSA Coordinator | Electronically to NCFVPSA@doa.nc.gov | As needed |
FVPSA Semi-Annual PPR | FVPSA Coordinator | Electronically to NCFVPSA@doa.nc.gov | April 15 October 15 |
FVPSA Semi-Annual Performance Report Guidance Form | For applicant use only | Use to assist with preparation of report | |
Electronic Payment Form (Complete for reimbursement) (PDF) | OSC Support Services Center | Mail: 1410 Mail Service Center Raleigh, NC 27699-1410 |
FVPSA Grant Contract Items for Government Agency
Attachment A (General Terms and Conditions)
Attachment D (Reporting Requirements)
Attachment E (No Overdue Tax Debts)
NC CFWYI FVPSA Verification of No Overdue Tax Debts
Attachment I (Debarment Suspension)
Attachment J (Drug-Free Workplace)
Assurance of Compliance with Grant Requirements
FVPSA Grant Cover Sheet Government Entity
FVPSA Actual Budget FY19-20 and FY20-21 For DV and Prevention-Specialized Service Updated 9/4/2019
Submit to:
FEDEX/UPS/HAND DELIVERY:
Attention FVPSA Staff 116 West Jones Street Raleigh NC 27603
OR
US Mail:
Attention FVPSA Staff 1320 Mail Service Center Raleigh NC 27699-1320
FVPSA Grant Contract Items for Nonprofit Agency
Attachment A (General Terms and Conditions) Attachment D (Reporting Requirements) Attachment E (No Overdue Tax Debts) NC CFWYI FVPSA Verification of No Overdue Tax Debts Attachment F (Verifications of 501(C)(3) Status) Attachment I (Debarment Suspension) Attachment J (Drug-Free Workplace) Assurance of Compliance with Grant Requirements FVPSA Grant Cover Sheet Private Non-Profit FVPSA Actual Budget FY19-20 and FY20-21 For DV and Prevention-Specialized Service Updated 9/4/2019
Submit to: FEDEX/UPS/HAND DELIVERY: Attention FVPSA Staff 116 West Jones Street Raleigh NC 27603 OR US Mail: Attention FVPSA Staff 1320 Mail Service Center Raleigh NC 27699-1320 |
Share this page: