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.