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NC DOA »   Divisions »   Council for Women & Youth Involvement »   DV/SA Grants »   FVPSA »   Forms & Applications

FVPSA Forms & Applications

Family Violence Prevention and Services Act (FVPSA) Funding for 2021 through 2023

The 2021 application process was a "two-part" project and included 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 Services 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 and culturally appropriate services. 

FVPSA Forms

Form Submit to How to Submit Due Date

FVPSA Monthly Reimbursement Report and Reimbursement Report Summary Page

(Updated 1-13-2022)

Assigned Grant Manager Electronically to NCFVPSA@doa.nc.gov  10th of each month
FVPSA Budget Transfer Request (Updated 7-26-2022) Assigned Grant Manager

Grant Managers

Mario Richardson (Grantees County A-H)

Mario.Richardson@doa.nc.gov

 Debra Underwood (Grantees County J-Z)

Debra.Underwood@doa.nc.gov

As needed 
FVPSA Monthly Reimbursement Report Guidance For applicant Use to assist with the preparation of the report  
FVPSA Additional Funds Request Form (coming soon) FVPSA Coordinator  Electronically to NCFVPSA@doa.nc.gov As needed
FVPSA Core Semi-Annual PPR  FVPSA Coordinator Electronically to NCFVPSA@doa.nc.gov  April 15
October 15
FVPSA Core Semi-Annual Performance Report Guidance Form  For applicant use only Use to assist with preparation of report  
FVPSA American Rescue Plan Act Progress/Final Performance Reports FVPSA Coordinator  Electronically to NCFVPSA@doa.nc.gov 

September 30, 2022

September 30, 2023

Electronic Payment Form (Complete for reimbursement) (PDF) OSC Support Services Center
Mail:
1410 Mail Service Center
Raleigh, NC 27699-1410
 

FVPSA 2022-2023 Funding Opportunity

Form Submit to How to Submit Due Date
FVPSA ARP Supplemental  Assigned Grant Manager Email March 28th
FVPSA ARP FAQ NA NC NA
SVG

Frequently Asked Questions

Prevention Definitions, Indirect Cost, Expenditure Reports & more

Files

FVPSA-CORE-FY-2021-22-FVPSA-WORKBOOK-EXTRA-UPDATED-12.13.21.xlsx

application/vnd.openxmlformats-officedocument.spreadsheetml.sheet • 994.56 KB - January 13, 2022

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https://ncadmin.nc.gov/divisions/council-women-youth/dv-sa-grants/fvpsa/forms-applications