18-444-26-1543-01 GA Prevent Opioid/Prescription Drug Overdose-related Deaths
To apply for a SFY2018 DHS DASA award for the services you were providing in SFY2017, all grantees must complete the Pre-Qualification Process consisting of the Internal Controls Questionnaire, Programmatic Risk Assessment and Grant application. The Grant Application and Programmatic Risk Assessment are to be completed for every program/grant. See Grant Application Information and Instructions webpage for more detail.
At the time of application, all grantees must submit for each grant program the following documents:
- Grant Application GA-1543
- Fixed Rate Grant Budget printed from the CSA Tracking.
Below is a link to a budget template that can be used to help prepare the information that needs to be entered into the CSA Tracking System.
The budget needs to be completed and submitted online in the CSA. Print the budget entered online and submit with the Uniform Application for State Grant Assistance.
The Internal Controls Questionnaire and Programmatic Risk Assessment are completed electronically on or before May 12, 2017 at 12:00 p.m. The Uniform Application for State Grant Assistance and budget must be emailed to Kim.Fornero@Illinois.Gov on or before May 11, 2017.
The Agency Opportunity Number and the program contact must be in the subject line.
Specifically, the subject line must be:
Your Organization's Name, 18-444-26-1543-01, Kimberly Fornero
The file name must also include Your Organization's Name 18-444-26-1543-01 Kimberly Fornero
If you have trouble emailing the document due to the file size, please utilize the CMS File Transfer Utility located at https://filet.illinois.gov/filet/PIMupload.asp Please follow the instructions to attach your application. Remember to include the subject line above.