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Hazard Mitigation Grant Program Forms

These are the forms you'll need to access and fill out as part of the Hazard Mitigation Grant Program. The documents are listed in a numbered format to help you stay organized throughout the process.

If you have questions, contact the State Hazard Mitigation Officer.

00 – Letter of Intent (PDF)
01 – Enclosures List (DOC)
02 – Application Guide (PDF)
03 – Designation of Agent (PDF)
04 – Local Compliance Review Sample Letter (PDF)
05 – Local Maintenance Compliance Letter (PDF)
06 – Official Grant Application (PDF)
06a – General Application Instructions (PDF)
07 – Voluntary Participation Agreement (PDF)
08 – Residential Damage Calculation Form (DOC)
09 – Hazardous Materials Property Survey (PDF)
10 – Glossary (DOC)
11 – HMGP Application Special Attention Checklist (PDF)
12 – Addendum 1: Phased Structural Projects (DOC)
13 – Addendum 2: Acquisitions (PDF)
14 – Addendum 3: Elevations (PDF)
15 – Addendum 4: Structural (DOC)
16 – Addendum 5: Plans, Education, Equipment, and Other (DOC)
16a – FEMA Model Deed Restriction (PDF)
17 – Final BCA Spreadsheet (XLS)
18 – HMGP Official Planning Application (DOC)
19 – FEMA Non-Disaster Grants Letter of Interest (PDF)
20 – Hazard Mitigation Assistance Guidance (PDF)
21 – Mitigation Targeting Worksheet (DOC)
22 – Settlement Statement HUD-1 Sample (DOC)
23 – REV-183 EX Realty Transfer Tax Statement of Value (PDF)
24 – DHS Declaration and Release Form (PDF)

Additional Forms

Advance Assistance

FEMA Public Notices

Public Notice FEMA – 4506-DR-PA (PDF) and on the FEMA website.

​Hazard Mitigation Grant Program Forms

Additional Forms

Advance Assistance

FEMA Public Notices

Hazard Mitigation Grant Program Forms