APPLICANT TYPE (more info)

• ERROR: APPLICANT TYPE (required)
  
  --Select Applicant Type--

  • Volunteer Fire Department
  • Fire Department
  • Joint Fire District
  • Local Government Operating A Fire Department
  • Local Government Contracting For Fire Services
  • Private Fire Company

FIRE DEPARTMENT INFORMATION (more info)

• ERROR: FDID (required)
  ERROR: FDID (does not exist)
  Fire Department Identification Number (FDID) Fire Department Name
• ERROR: Full Time Firefighters (required)
  Number of full time paid firefighters associated with the eligible recipient.
• ERROR: PART TIME / PAID PER CALL (required)
  Number of firefighters that are part time or paid per call.
• ERROR: UNPAID (required)
  Number of firefighters who receive no compensation.
• ERROR: Y/N Incident Report Compliant (required)
  YESNO In accordance with the Ohio Revised Code Section 3737.24, is the fire department current on reporting fire incidents to the State Fire Marshal?
• ERROR: Y/N VFDF Compliant (required)
  YESNO If applicable, is your fire department in compliance with the VFDF in accordance with the Ohio Revised Code Chapter 146?
• ERROR: Y/N Private Fire Company (requird)
  YESNO Is the fire department listed in this application a private fire company? I understand that a private fire company is not an eligible recipient for a grant; and the qualifying local government contracting with a private fire company is the recipient applying for the grant. If selected, the award and funding will be granted to the local government and such equipment/service may be used by a private fire company as a part of its contracted services.

EQUIPMENT INFORMATION (more info)

• ERROR: Y/N Natual Disaster (required)
  YESNO Was the eligible recipient’s fire department in a jurisdiction where the Governor declared a natural disaster?

APPLICATION CONTACT INFORMATION (more info)

• ERROR: FIRST NAME (required)
  ERROR: LAST NAME (required)
  ERROR: TITLE (required)
  First Name:       Last Name:       Title:
• ERROR: PHONE (required)
  ERROR: PHONE (not valid)
  ERROR: EMAIL (required)
  ERROR: EMAIL (not valid)
  Daytime/Cell Telephone:       Email:

FIRE DEPARTMENT / GOVERNMENT ENTITY INFORMATION (more info)

• ERROR: POPULATION PROTECTED (required)
   Total resident population receiving primary fire protection services.
• ERROR: POPULATION SOURCE (required)
  Source of your population figure (check where appropriate):
  

  Census

  Government Agency

  Fire Department Estimate

  Other

• ERROR: TOTAL AREA (required)
   Total area, in square miles, the eligible recipient provides primary fire protection.
• ERROR: TOTAL BUDGET (required)
   Total operating budget during current calendar year, including both public and private source of income. Total operating budget includes money provided from taxes and fire protection contracts, as well as from fund raising and donations used for operating expenses. Do not include capital expenses for new trucks, buildings, or EMS budgets.
• ERROR: PRIMARY PROTECTION AREA STRUCTURE COUNT (required)
  ERROR: PRIMARY PROTECTION AREA VEHICLE COUNT (required)
  ERROR: PRIMARY PROTECTION AREA OTHER COUNT (required)
  ERROR: MUTUAL AID GIVEN STRUCTURE COUNT (required)
  ERROR: MUTUAL AID GIVEN VEHICLE COUNT (required)
  ERROR: MUTUAL AID GIVEN OTHER COUNT (required)
  ERROR: MUTUAL AID RECEIVED STRUCTURE COUNT (required)
  ERROR: MUTUAL AID RECEIVED VEHICLE COUNT (required)
  ERROR: MUTUAL AID RECEIVED OTHER COUNT (required)
  
  For primary protection area, list the total number of fire incidents/calls/responses requiring a NFIRS report in the following categories for November 01, 2022 - October 31, 2023:
  
  
  Primary Protection Area     
   Structure       Vehicle       Other
  
  Mutual Aid Given     
   Structure       Vehicle       Other
  
  Mutual Aid Received     
   Structure       Vehicle       Other
• ERROR: FEDERAL TAX ID NUMBER (required)
  ERROR: FEDERAL TAX ID NUMBER (not valid)
   Eligible recipient's Federal Taxpayer ID Number (i.e. 31-1234567).
• ERROR: PAYMENT LOCATION VERIFIED (required)
  YESNO The fiscal officer has verified the Payment address/EFT bank accounts are accurate and up to date
• ERROR: OHIO SUPPLIER NUMBER (required)
    Ohio Supplier Number
  Need help finding your Ohio Supplier Number? The fiscal officer can log into the existing account, update addresses, and opt in for electronic payment transfers.

FINANCIAL OFFICER INFORMATION (more info)

• ERROR: IDENTITY (required)
  Fire DepartmentGovernment Entity Identity of Eligible Financial Officer.
• ERROR: FIRST NAME (required)
  ERROR: LAST NAME (required)
  ERROR: TITLE (required)
  First Name:       Last Name:       Title:
• ERROR: ADDRESS (required)
  Address:
• ERROR: CITY (required)
  ERROR: ZIP (required)
  ERROR: ZIP (not valid)
  City:       State:
  Ohio

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District Of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
        Zip:
• ERROR: PHONE (required)
  ERROR: PHONE (not valid)
  ERROR: EMAIL (required)
  ERROR: EMAIL (not valid)
  Daytime/Cell Telephone:       Email:

EQUIPMENT WORKSHEET (more info)

TOTAL AMOUNT REQUESTED:

TOTAL AMOUNT REQUESTED: $0.00

CERTIFICATION INFORMATION (more info)

• ERROR: IDENTITY (required)
  Fire DepartmentGovernment Entity Identity of Certifier.
• ERROR: FIRST NAME (required)
  ERROR: LAST NAME (required)
  ERROR: TITLE (required)
  First Name:       Last Name:       Title:
• ERROR: ADDRESS (required)
  Address:
• ERROR: CITY (required)
  ERROR: ZIP (required)
  ERROR: ZIP (not valid)
  City:       State:
  Ohio

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District Of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
        Zip:
• ERROR: PHONE (required)
  ERROR: PHONE (not valid)
  ERROR: EMAIL (required)
  ERROR: EMAIL (not valid)
  Daytime/Cell Telephone:       Email:

SUBMITTER INFORMATION (more info)

• ERROR: FIRST NAME (required)
  ERROR: LAST NAME (required)
  ERROR: TITLE (required)
  First Name:       Last Name:       Title:
• ERROR: PHONE (required)
  ERROR: PHONE (not valid)
  ERROR: EMAIL (required)
  ERROR: EMAIL (not valid)
  Daytime/Cell Telephone:       Email:

SUPPORTING DOCUMENTS

• Please upload any supporting documents in PDF format, if necessary: