HMEP Grant Application

The application is a multi-step process and all applicable steps MUST be completed in order for your grant application to be considered. If you have questions throughout the application process, please contact the HMEP Program Manager at 603-271-2231.

HMEP Application

Step 1 of 8

Welcome to the Hazardous Materials Emergency Preparedness (HMEP) Online Application
Community/Agency Name:*
Community/Agency UEI*
Is the UEI Active on SAM.gov?*
- Yes
- No
Please upload a screenshot of the active status on SAM.gov
Accepted file types: pdf, jpg, gif, xslx, doc, docx, ppt, pptx, xsl, Max. file size: 1 GB.
You must have a valid UEI registered on SAM.gov to continue. Please visit sam.gov to register or update UEI information
Address:*
Street Address City State ZIP Code
Subrecipient Project Director (PD)*
Please Note: The Subrecipient Project Director (PD) represents the community/agency that will become the subrecipient (fiscal agent) of this grant.
Title:*
Address*
Street Address City State ZIP Code
Phone*
Email:*
Enter Email Confirm Email
Secondary Subrecipient Project Director (PD)*
Title*
Address*
Street Address City State ZIP Code
Phone*
Email:*
Enter Email Confirm Email
Fiscal/Financial Agent Name*
First Last
Fiscal/Financial Agent Title*
Phone*
Email*
Enter Email Confirm Email
Are you applying on behalf of a Local Emergency Planning Committee (LEPC) or Regional Emergency Planning Committee (REPC)?*
- Yes
- No
Please describe your LEPC/REPC:*
Please include information regarding the membership of the LEPC/REPC, how often the LEPC/REPC meets, and when the last meeting occurred. Please note that it may be necessary to submit meeting minutes upon request.
Does your Community/LEPC/REPC have an emergency response plan?*
Does your Emergency Response Plan include a HAZMAT Incident Annex?*
When was the plan last updated?*

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I. SUMMARY INFORMATION
A) Projects*
Please select the number of projects:
- 1
- 2
- 3
- 4
Project 1 Title
Project 1 Type
Please review the HMEP Program Expenditures Guide available HERE for more information regarding allowable projects. Although allowable, the State of NH will not be funding exercises with HMEP funding. If you are interested in applying for funding for exercises please contact the State Exercise Training Officer at 603-271-2231.
Project 1 HMEP Federal Grant Funds Requested
Project 1 Milestones
Please identify important post-award milestones that will indicate progress on your proposed project. Please try to include days and months under timeframe (i.e., 6-months post award) instead of using dates under the timeframe – unless specific dates for projects (i.e., conferences) are already established. Please click on the (+) symbol below to add additional milestones, as appropriate.
Explanation Approximate Timeframe
Project 2 Title
Project 2 Type
Please review the HMEP Program Expenditures Guide available HERE for more information regarding allowable projects. Although allowable, the State of NH will not be funding exercises with HMEP funding. If you are interested in applying for funding for exercises please contact the State Exercise Training Officer at 603-271-2231.
Project 2 HMEP Grant Funds Requested
Project 2 Milestones
Please identify important post-award milestones that will indicate progress on your proposed project. Please try to include days and months under timeframe (i.e., 6-months post award) instead of using dates under the timeframe – unless specific dates for projects (i.e., conferences) are already established. Please click on the (+) symbol below to add additional milestones, as appropriate.
Explanation Approximate Timeframe
Project 3 Title
Project 3 Type
Please review the HMEP Program Expenditures Guide available HERE for more information regarding allowable projects. Although allowable, the State of NH will not be funding exercises with HMEP funding. If you are interested in applying for funding for exercises please contact the State Exercise Training Officer at 603-271-2231.
Project 3 HMEP Grant Funds Requested
Project 3 Milestones
Please identify important post-award milestones that will indicate progress on your proposed project. Please try to include days and months under timeframe (i.e., 6-months post award) instead of using dates under the timeframe – unless specific dates for projects (i.e., conferences) are already established. Please click on the (+) symbol below to add additional milestones, as appropriate.
Explanation Approximate Timeframe
Project 4 Title
Project 4 Type
Please review the HMEP Program Expenditures Guide available HERE for more information regarding allowable projects. Although allowable, the State of NH will not be funding exercises with HMEP funding. If you are interested in applying for funding for exercises please contact the State Exercise Training Officer at 603-271-2231.
Cost of Project 4 HMEP Grant Funds Requested
Project 4 Milestones
Please identify important post-award milestones that will indicate progress on your proposed project. Please try to include days and months under timeframe (i.e., 6-months post award) instead of using dates under the timeframe – unless specific dates for projects (i.e., conferences) are already established. Please click on the (+) symbol below to add additional milestones, as appropriate.
Explanation Approximate Timeframe
Total Federal HMEP Grant Funds Requested

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IV. COMPLIANCE CONDITIONS
Agreement to the following conditions is required for consideration of the grant application. Failure to fulfill any of these conditions may jeopardize receipt of federal funds, pursuant to 2 CFR 200.338/Remedies for Noncompliance and §200.207/Specific Conditions.
1) By checking the box below, I certify that I agree to comply with all federal, state, and local laws, regulations, codes, standards, ordinances, etc.*
- I Understand and Agree to abide by all applicable laws and standards as they apply to the projects contained within this application.
2) By checking the box below, I certify that I understand that applicants for the HMEP program assure that matching funds and resources are available to supplement the requested HMEP Grant at 20% of the Total Amount (25% of the total federal grant funds requested).*
- I Understand and Agree to the match requirements.
3) By checking the box below, I certify that I have checked the Federal Excluded Parties List and none of the vendors, contractors, or sub-contractors being used for the proposed project(s) were listed.*
To confirm that none of the vendors, contractors, or sub-contractors being used for the proposed project(s) are on the Federal Excluded Parties List complete the following steps:
1) Visit https://www.sam.gov/portal/SAM/##11
2) Click on "Search Records"
3) In the "Quick Search" field type in the name of the vendor.
4) Complete for each vendor.
- I Understand and Agree that I have checked the Federal Excluded Parties List
4) By checking the box below, I certify that I have reviewed and I understand the HMEP Grant Program Expenditures Guide*
The HMEP Grant Program Expenditures Guide is available HERE
- I Understand and Agree that I have reviewed and understood the HMEP Grant Program Expenditures Guide

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V. Reimbursement of Funds
In order to be reimbursed, costs that are associated with the approved project, including match, must be necessary, allowable, allocable, and reasonable. Reimbursement requests for federal funds must be matched using hard (cash) or in-kind match (as approved in your application) and must be documented at the time of the reimbursement request.
If your application is approved for funding, are there any local budget/fiscal constraints that could be affected by the timing of the award of this grant (e.g. the end of the local fiscal year)?*
- Yes
- No
If yes, please explain:
Select your method of payment:*
- 1) Reimbursement DURING progression of project(s)
- 2) Reimbursement AFTER completion of project(s)
Reimbursement DURING progression of project(s)*
The Sub-Recipient may submit paid bills/invoices from the project during the progression of the project. Complete reimbursement requests will be processed and paid in approximately 30 days after receipt. All requests for reimbursement must include a letter of request on community/agency letterhead (where the address on the letterhead matches the address in Block 1.4 of the Grant Agreement), copies of invoices, proof of payment (such as cancelled checks, accounting statements, etc.), and documentation of match. The Sub-Recipient will continue this process until they have drawn down the federal funds with proper documentation of match.
- I Understand and Agree
Reimbursement AFTER completion of project(s)*
The Sub-Recipient will submit all paid bills/invoices from the project(s) when all of the project(s) have been completed. The complete reimbursement request will be processed and paid in approximately 30 days after receipt. All requests for reimbursement must include a letter of request on community/agency letterhead (where the address on the letterhead matches the address in Block 1.4 of the Grant Agreement), copies of invoices, proof of payment (such as cancelled checks, accounting statements, etc.), and documentation of match.
- I Understand and Agree

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VII. CERTIFICATION PAGE
PLEASE NOTE: Applications that do not contain all of the requested information, including any necessary attachments, will be followed up on by the HMEP Program Manager. Priority will be given to applications that are all-inclusive.
The requesting community/agency understands that the grant will be on a first-come, first-served basis and will be prioritized, and ultimately recommended, by the ACEPS Hazardous Materials Sub-Committee. Subrecipients will be required to fund any subsequent costs after the grant expires. The subrecipient’s share may be in the form of cash or in-kind/soft match. Upon approval of this grant request and a fully executed grant agreement, the community/agency may incur costs against the grant award and submit requests for reimbursement to the NH Division of Homeland Security and Emergency Management. Payment will be made on actual costs only. Costs that exceed the amount of this grant will not be reimbursed.*
- I Understand
I certify that I am authorized to submit this grant application on behalf of the aforementioned community/agency.*
- I agree
- I DO NOT agree
Statement of Acknowledgement*
By writing my full name below (as an electronic signature), selecting today's date and clicking the submit button, I am attesting that the information I provided in this application is true and accurate to the best of my ability. I also acknowledge that failure to provide accurate and/or misleading information may be grounds for application disqualification. Lastly, I certify that I understand that this application DOES NOT constitute a grant award. Initiation of the proposed project(s) identified in this application will NOT begin until the Sub-Recipient receives official notification of award.
Certification Date*
MM slash DD slash YYYY

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HMEP Grant Application

HMEP Application

Step 1 of 8

Welcome to the Hazardous Materials Emergency Preparedness (HMEP) Online Application

You must have a valid UEI registered on SAM.gov to continue. Please visit sam.gov to register or update UEI information

I. SUMMARY INFORMATION

II. PROJECT DESCRIPTION / SCOPE OF WORK

III. BUDGET & MATCH SUMMARY

IV. COMPLIANCE CONDITIONS

V. Reimbursement of Funds

VI. Assurances

VII. CERTIFICATION PAGE

Explanation	Approximate Timeframe

Explanation	Approximate Timeframe

Explanation	Approximate Timeframe

Explanation	Approximate Timeframe