Grant Programs

Grant Forms
Disaster Recovery Forms

Disaster Recovery - Public Assistance (PA)

Document Description
Grants Portal Access Request for Public Assistance

Instructions from Governor’s Authorized Representative

PAGP Project Quarterly Progress Report Form to submnit quarterly progress on all open, large Public Assistance Grand Program projects. 
Donated Resources(PAPPG pg. 87-90) Information on Donated Resources
In-Kind Contribution MSP EMHSD Fillable form for In-Kind Contributions
Volunteer Tracking Spreadsheet

TRACKING SPREADSHEET (TIME AND ACTIVITIES) COVID-19

FEMA Form 009 Force Account Labor Summary FEMA fillable form
FEMA Form 009 Applicants Benefits Calculation Worksheet FEMA fillable form
Labor Tracking Sheet Force Account Labor Summary Record excel tracking sheet
Donations Information In-Kind Contribution Information
COVID-19 Emergency Protective Measures Fact Sheet Description of eligible emergency protective measures 
Applicant Quick Guide Grants Portal and Account and RPA Guide to creating a user’s account
FEMA_Form_009-0-49_RPA_508_Final Request for Public Assistance form
PNP Facility Questionnaire Private Non Profit Eligibility Questionnaire
Documentation to Support Costs Claimed Checklist for required cost documentation
Procurement During EE Circumstance Fact Sheet Guidance regarding procurement requirements for FEMA eligible expenses
PA Fact Sheet Emergency Medical Care for COVID-19 Information about eligible emergency medical care expenses
COVID-19 EPM for Accessible Public Service Announcements Fact Sheet Information about Accessible Communications of Emergency Protective Measures
COVID-19 EHP and EPM Fact Sheet

Information about Environment and Historic Preservation Review Compliance

COVID-19 Floodplain for Temporary Critical Facilities Fact Sheet Floodplain considerations for temporary critical facilities
COVID-19 noncongregate Shelter FAQ Information about Public Assistance Eligibility for Non-congregate Sheltering
EMPG Forms
Document Description
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds ina fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identification number and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicable federal statutes, retulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring.
Finance Forms
Document Description
AAF Page 5 Page 5 of the Alignment and Allowability Form (AAF)
EMD-054 Reimbursement Cover Sheet (HSGP, OPSG, and NSGP)
EMD-055 Payroll Reimbursement Detail (HSGP, OPSG, and NSGP)
EMD-056 Supplies Reimbursement Detail (HSGP, OPSG, and NSGP)
EMD-057 Travel Reimbursement Detail (HSGP, OPSG, and NSGP)
EMD-058 Reimbursement of Lost Wages
EMD-017 Annual Local Budget Form for EMPG
EMHSD-007 EMPG Quarterly Billing Cover Sheet
Fueling Facility Generation Grant Forms
Document Description
2019 Energy Assurance Initiative Overview of Michigan's 2019 Energy Assurance Initiative
Michigan Fueling Facility Generation Grant Guidance on Michigan's Fueling Facility Generation Grant
Michigan Fueling Facility Generation Grant Application  Application
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements. 
Audit Certification emd-053

Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.

Form W-9 Request for Taxpayer ID Number Request for taxpayer identification number and certification.
Standard Assurances Standard assurance and certification of compliance with all applicable federal statutes, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring.
Grant Agreement Forms
Document Description
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identification number and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicable federal statutes, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring.
HMA Forms
Document Description
HMA Quarterly Progress Reporting EMHSD-016 Hazard Mitigation Assistance Quarterly Progress Report
HMA Quarterly Progress Reporting Acquisitions Hazard Mitigation Grant Program Quarterly Progress Report Acquisitions
Reimbursement Form 01 - Request for Reimbursement EMHSD-009 Request for Reimbursement of Mitigation Project Expenses
Reimbursement Form 02 - MPR Contract Work Mitigation Project Record - Contract Work
Reimbursement Form 03 -  MPR Equipement Mitigation Project Record - Equipment (Force Account)
Reimbursement Form 04 - MPR Equipment Rented Mitigation Project Record - Equipment (Rented)
Reimbursement Form 05A - MPR Labor (IK) Mitigation Project Record - Labor (In Kind)
Reimbursement Form 05B - MPR Labor (PE) Mitigation Project Record - Labor (Project Expense)
Reimbursement Form 06 -  MPR Materials/Supplies/Equipement Mitigation Project Record - Materials/Supplies/Equipment
Reimbursement Form 07 -  MPR Travel Mitigation Project Record - Travel
Certification of Lobbying  Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identification number and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicable federal statutes, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring. 
HMEP Forms
Document Description
Sara Title III Plan Update List EMD-064 SARA Title III Hazardous Materials, Off-Site Emergency Response Plan Update List
LEPC Officer/Member Record EMD-072 - LEPC Officer/Member Record
Sara Title III Emergency Response Plan Submittal Sheet EMD-076 - Superfund Amendments and Reauthorization Act (SARA) Title III Emergency Response Plan Submittal Sheet
LEPC Application For Hazardous Materials Emergency Preparedness Grant EMHSD-040 - Local Emergency Planning Cimmittee Allocation for Hazardous Materials Emergency Preparedness Grant
Attachment A Hazardous Materials Emergency Preparedness Planning Grant Instructions 
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identification nubmer and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicable federal statutes, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring.
HSGP Forms
Document Description
Alignment & Allowability Form (AAF) Designed to capture all necessary data to demonstrate grant program cost eligibility 
Alignment & Allowability Form Instructions Instructions on how to fill out an AAF
EHP Screening Form Environmental and Historic Preservation Screening Form
Personnel Certification Form EMD-097 - Homeland Security Grant Program (HSGP) Personnel Time Certification Form
EMHSD BSIR Template Emergency Management & Homeland Security Division (EMHSD) Biannual Strategy Implementation Report (BSIR) Template
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identification number and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicable federal statutes, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring. 

 

NSGP Forms
Document Description
Alignment & Allowability Form (AAF) Designed to capture all necessary data to demonstrate grant program cost eligibility
Alignment & Allowability Form Instructions  Instructions on how to fill out an AAF
EHP Screening Form  Environmental and Historic Presercation Screening Form
EMHSD BSIR Template Emergency Management & Homeland Security Division (EMHSD) Biannual Strategy Implementation Report (BSIR) Template
Certification of Lobbying Certifications regarding lobbying; debarment, suspension, and other responsibility matters; and drug-free workplace requirements.
Audit Certification emd-053 Non-federal entities which expend $750,000 or more in federal funds in a fiscal year are required to have an audit performed in accordance with 2 CFR Part 200, Subpart F.
Form W-9 Request for Taxpayer ID Number Request for taxpayer identificaiton number and certification.
Standard Assurances Subrecipient assurance and certification of compliance with all applicalbe federal statutues, regulations, policies, guidelines, and requirements.
Subrecipient Risk Assessment Certification Assessment for using in evaluating a subrecipient's risk of non-compliance and determine appropriate monitoring.