Ambulance Grant Funding

FY 2013 Grant Information

DEADLINE TO APPLY: DECEMBER 31, 2012

Applications postmarked after December 31, 2012, WILL NOT BE PROCESSED!

The application period for the FY 2013 Ambulance Grant Funding is upon us.

The application process only has a few components; however, they need to be completed to allow KBEMS to properly administer the grant.

This year, KBEMS will be utilizing Direct Deposit for disbursement of Ambulance Grant Funds. This change is being implemented due to the improved efficiency and security of Direct Deposit as opposed to checks. This will allow KBEMS to get you your money quicker! One of the forms that will need to be submitted by YOUR COUNTY is a Substitute W-9 Form. This form will need to be completed in its entirety, including the Direct Deposit information on page 2. Your county has the option to include up to four (4) email addresses that will receive notification that the direct deposit has been made. Please ensure that the proper personnel in your county are included on the Substitute W-9.

All of the forms that need to be completed are available on the KBEMS website, (kbems.kctcs.edu) under the ‘Agency Operations’ heading. Then click on ‘Ambulance Grant Funding’. They can also be found on the ‘Forms’ page. All forms can be completed (typed into) prior to printing for signatures.

Remember that the KBEMS office will observe institutional closing from December 24, 2012 until January 4, 2013, and no one will be available to answer last minute questions. The deadline for submission is set by regulation, items submitted or postmarked after that day cannot be processed. The deadline for submission or postmark is December 31, 2012.

Remember, that there is no longer a ‘Board Approved’ list of items. All items purchased with Ambulance Grant funds need to fit in the categories below. The items you may apply for include:

That means the items you may apply for include:

 
• New or Used Vehicles that meet the requirements in regulation

• A monitor or defibrillator or AED

• Cot or Stretcher costing more than $250

• Training Mannequin or Dysrhythmia Generator costing more than $250

• Personnel Training, Education, and related expenses.

• Other Items – Must meet all three requirements 
    o Non-Disposable 
    o Required by Regulation (202 KAR 7:501)
    o Costs more than $250 per unit

Forms Required

COUNTY Application	KBEMS G1-C	Application used by COUNTIES for Ambulance Grant Funding. Must be submitted with G1-A for each agency applying for funding.
AGENCY Application	KBEMS G1- A	Application used by AGENCIES for Ambulance Grant Funding Must be submitted with G1-C from your County.
Substitute W-9	Sub W-9	Must be completed and on file for the distribution of Ambulance Grant Funds. Must include Direct Deposit information.

APPLICATION INFORMATION:

Ground EMS Agency Process

• Download ‘KBEMS Agency Grant Application’ (KBEMS-G1A)
• (Forms are available at http://kbems.kctcs.edu , under ‘Ambulance Grant Funding’ or ‘Forms’
• Completely fill out your Agency Application. You may type, save, and print items in the form.
• EMS Agency Director must sign the application
• This application along with the County Application (KBEMS-G1C) must be submitted to KBEMS.
• Items postmarked after December 31, 2012 WILL NOT BE PROCESSED.
• KBEMS recommends using a submission process that is traceable. (Certified Mail, UPS, etc.)

County Application Process

• Download ‘County Grant Application’ (KBEMS-G1C)
• Forms are available at http://kbems.kctcs.edu , under ‘Forms’ or ‘Ambulance Grant Funding’
• Completely fill out your County Application. You may type, save, and print items in the form.
• County Judge Executive or designee must sign the application
• Complete new Substitute W-9 Form
• Receipts for items purchased in FY2010 (If not previously submitted)
• The application along with an ‘Agency Grant Application’ (KBEMS-G1A) for each agency applying and your county Substitute W-9 Form must be submitted to KBEMS.
• Items postmarked after December 31, 2012 WILL NOT BE PROCESSED.
• KBEMS recommends using a submission process that is traceable. (Certified Mail, UPS, etc.)
  
  If you have any questions, please do not hesitate to contact KBEMS at KBEMS@kctcs.edu

Submission Checklist