Volunteer Fire Assistance 2014

1. Volunteer Fire Assistance 2014 Fire Control Headquarters 6220 Forest Road Martinsville, IN 46151 Fire Suppression, Fire Department Assistance, Training, Fire Management, Prevention

2. 2014 Volunteer Fire Assistance Grant Program Rural and Volunteer Fire Departments Power Point Completing the Cooperative Mutual Aid Agreement and Associated Grant Documents for 2014

3. VFA Cover Sheet Verify Department Name & Address Contact Name FID # Grant Category Grant Amount Write-IN Email Address Volunteer Fire Assistance (VFA) Grant Summary Federal Fiscal Year 2014 RVFD Contact Name Street Address Mailing Physical Address City, IN ZIP Valid Valid Email Address: Email Address Federal Identification Number = 9 Digit FID # This grant is to purchase fire equipment in the _____________ category. All of this equipment will be utilized by RVFD Name. Requested Amount $ =Total Amount Requested Grant Amount $ =Grant Amount Department Match Amount$ =Department Match

4. Day Month

6. New 2014 program guideline

9. Day Month Print Sign Crystal will sign here

10. If department has Township trustee or clerk the Name would be the County/Township name and Line 2 Business Name will be department name. The TIN# will match this information. The majority if not all RVFD’s will pick Other for the federal tax classification Information of the Individual who completed W-9 Taxpayer Identification Number (TIN) Address of Name on Line 1 Date you completed W-9 THIS FORM MUST BE ACCOMPANIED BY THE DIRECT DEPOSIT FORM Signature of Individual responsible for RVFD’s information

11. Federal Identification Number (FID) matches NAME and Address Printed Name (as shown on Dept’s Account) If Department is operating under a County/Twp/Trustee the printed NAME is the name from the account that pays the department’s bills. Type of Account (Checking or Savings) Check One Check Add Deposit Attach a VOID check OR take to the Departments Financial Institution and have them complete and sign. THIS FORM MUST BE COMPLETED AND ACCOMPANY THE W-9 Valid Email Address Print, Title, Daytime Phone #, Sign and Date

13. Sign

14. E-Verify • Parties/Individuals held responsible for the E-Verify process depend on agency organization and affiliation of oversight. • If the VFD is firefighter/member owned, then the E-Verify online process is the responsibility of the individual department. • If VFD oversight is any government agency - i.e. town, city, county, state – then the E-Verify process falls under the responsibility of the government agency responsible for paying the VFD bills, funding, etc. VFD’s whom fall under supervision of a government entity should reference completion of E-Verify through an agency Trustee • The process of confirming government oversight E-Verify completion should be completed before signing and sending the Cooperative Mutual Aid form included within the packet to avoid misrepresentation and therefore potential funding problems or retractions.

15. If your Department has never filed for E-Verify go to the website: http://www.dhs.gov/how-do-i/verify-employment-eligibility-e-verify Follow the directions/links and register only new employees

16. Example of Screen for E-Verify – Follow the steps/links to register and add only new employees

17. VFA 2014 Checklist • Verify Department & Grant Information • Understand E-Verify Obligation • Sign Cooperative Mutual Aid Agreement • Complete W-9 • Complete Automated Direct Deposit Authorization Agreement • Sign FEMA Understanding • Sign Non Discrimination & Invoice Policy • Keep a copy for the Department’s records • Mail all documents in a single envelope and return to: Fire Headquarters 6220 Forest Road Martinsville, IN 46151

18. VFA 2014 Grant Fire Control Headquarters 6220 Forest Road Martinsville, IN 46151 Fire Suppression, Fire Department Assistance, Training, Fire Management, Prevention