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North Carolina Division of Aging and Adult Services


Emergency Solutions Grant

Request for Application (RFA)

    Form Name Updated DOC Size PDF Size XLS Size
    ESG Application Form: Project Application 07/16/2013 619 KB    
    ESG Project Budget 07/24/2013     70 KB
    ESG Application Form: Regional Application 07/16/2013 848 KB    
    ESG Regional Budget 07/16/2013     90 KB
    ESG Application Information Packet 07/24/2013 411 KB    
    Matching Funds Form 07/24/2013 37 KB    
    Required Application Forms
    Annual Conflict of Interest Verification 07/24/2013 29 KB    
    Annual IRS Tax Exemption Verification Form 07/24/2013 24 KB    
    Conflict of Interest Acknowledgement & Policy 07/24/2013 39 KB    
    Federal Certifications 07/24/2013 98 KB    
    Proof of Insurance Verification Form 07/24/2013 30 KB    
    State Grant Certification - No Overdue Tax Debts 07/24/2013 29 KB    
    State Certifications 07/24/2013 46 KB    



Last updated July 25, 2013


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