Highway Safety Office
NHTSA FORMS
Equipment Forms:
Equipment acquisitions must be documented on the Equipment Report Form. The form must be submitted to the Highway Safety Office (HSO) and a copy remains with the grantee. The form includes: description, serial number or identification number, date equipment was received, cost, percentage of federal participation in the cost, location of the equipment, date of disposition, sale price, and condition of equipment.
Grant Proposal and Application Forms:
The Highway Safety Office is transitioning to an online grant management system. Please contact your program manager or the HSO main office for further information about grant applications for federal fiscal year 2013.
Monitoring and Review Forms:
The Project Monitoring Form is used by HSO program managers who will perform grant reviews during the year to make certain compliance with the applicable federal requirements, and objectives and requirements of the agreement are being met.
Monthly Expenditure Report Forms:
Monthly Expenditure Report Sample
The federal grant program operates on a reimbursement basis. The grantee must first incur the costs for approved expenditures and then apply for the reimbursement. This process utilizes the Expenditure Reimbursement Form, which must be completed and submitted to the HSO.
Monthly/Quarterly Report Forms:
Monthly program activity reports are required each month of the grant period, unless quarterly reports have been agreed upon. The report provides the grantee with the opportunity to report successes and describe problems. It also allows for the grantee to evaluate the program and identify if any modifications need to be made in order to successfully accomplish the objectives.
Project Adjustment Forms:
Program revisions that change the intent of the project, or alters the funding allotment by more than 10% of the total federal budget, must first be approved by the HSO. The HSO will evaluate the proposed revision/adjustment and if approved, incorporate it into the Highway Safety Plan.
OJJDP EUDL FORMS
Utilize the forms below for Office of Juvenile Justice and Delinquency Prevention (OJJDP) Enforcing Underage Drinking Laws (EUDL) block grant projects.
DCTAT Monthly Report Forms:
DCTAT Monthly Activity Coalition Report Form
DCTAT Monthly Activity Enforcement Report Form
The Data Collection and Technical Assistance Tool (DCTAT) is a reporting system for users to submit performance data about their OJJDP grants. DCTAT monthly activity reports are required each month of the grant period. The report provides the grantee with the opportunity to report successes and describe problems. There are separate reports for law enforcement agencies and coalitions.
Equipment Forms:
Equiment Report Document (value < $5000)
Equipment acquisitions must be documented on the Equipment Report Form. The form must be submitted to the Highway Safety Office (HSO) and a copy remains with the grantee. The form includes: description, serial number or identification number, date equipment was received, cost, percentage of federal participation in the cost, location of the equipment, date of disposition, sale price, and condition of equipment.
Project Adjustment Forms:
Program revisions that change the intent of the project, or alters the funding allotment by more than 10% of the total federal budget, must first be approved by the HSO. The HSO will evaluate the proposed revision/adjustment and if approved, incorporate it into the Highway Safety Plan.
Monthly Expenditure Report Forms:
Monthly Expenditure Report Sample
The federal grant program operates on a reimbursement basis. The grantee must first incur the costs for approved expenditures and then apply for the reimbursement. This process utilizes the Expenditure Reimbursement Form, which must be completed and submitted to the HSO.
Grant Application Forms:
The Highway Safety Office is transitioning to an online grant management system. For further information about applications for federal fiscal year 2013, contact your program manager or the main HSO office.