Nevada Division of Emergency Management Hazard Mitigation Assistance Notice of Interest

Nevada Division of Emergency Management

Hazard Mitigation Assistance

Notice of Interest

For Additional Assistance or Questions Please Contact the DEM Mitigation Team-

mitigation@dem.nv.gov

Mitigation Notice of Interest (NOI) Questionnaire

This form is intended to give preliminary notice that your Agency, Tribe, or Jurisdiction is interested in seeking HMA grant funding

Completing and Submitting this form is intended to give preliminary notice of interest in seeking Hazard Mitigation Assistance but does not obligate application. Based off the information you provide, DEM Hazard Mitigation staff will work with you to identify eligibility of your proposed project or plan.

Grant Program of Interest*

NV DEM Staff will review for best fit of available funding.

Select

Sub-Applicant Agency-*

Who is requesting HMA grant funding?

Jurisdiction *

Please identify the responsible County or City Jurisdiction or Tribal Nation the Sub-Applicant is affiliated with.

Point of Contact Name*

Point of Contact Phone number*

Phone

Point of Contact Email*

FIPS #*

Federal Information Processing Standards

UEI#*

Unique Entity ID (from SAM.GOV)

Activity Title*

This can be a plan name, project title, or advanced assistance/Project Scoping activity.

Description of Activity*

Please provide a brief description of the activity.

Location of Project Type in Hazard Mitigation Plan*

Please provide plan page number. The hazard must be identified in the Local and or State Hazard Mitigation Plan

Estimated Grant Project Total*

This is the total amount of the project.

Federal Funding Amount 75%*

The Federal Share of most HMA grants is a maximum of 75%.

Local Cost Share (25%)*

The local cost share responsibility is a minimum of 25%.

Cost Share Source*

Please identify the funding stream of the local cost share.

Form Date Field*

Send me a copy of my responses

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