Substance Use Prevention Treatment and Recovery Services RFA Submission Form

Substance Use Prevention Treatment and Recovery Services RFA Submission Form

Please submit one application per Type of Application selected. All Applications due by 11:59 PM PST on May 31, 2025.

Name of Organization*

Contact Name*

Contact Email*

Type of Application*

Primary Prevention

Secondary/Tertiary Prevention

Treatment (Fee for Service, Women's Services, Court & Law)

Recovery / Harm Reduction

File Upload*

Drag and drop files here or

Application Uploaded*

Scope Template Uploaded*

Budget Template Uploaded*

Funding Acknowledgement Form Uploaded*

Resumes of Key Personnel Uploaded*

Organizational Chart Uploaded*

Send me a copy of my responses

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