State and Local Cybersecurity Grant Program

Guidance and Forms

The following are some, but may not be all, of the forms pertinent to this grant program. Please email DEMHS.SLCGP@ct.gov with any questions or issues.

DEMHS Guidance and Forms

Reimbursement Request Forms and Certification Forms:

The following forms are part of the subaward process. These should be completed at the direction of DEMHS.  Please download and submit to the DESPP Program Manager when submitting for reimbursement under these grant programs.

  • Reimbursement Request Form - For FY 2022 subgrantees, to be filled out and completed with each reimbursement submission. A maximum of four (4) requests may be submitted by the subgrantee.
  • Reimbursement Verification Tool - to be completed for each reimbursement submission to document and organize the reimbursement. If submitting more than ten items, please complete additional verification tools as needed. 
  • Interoperability Request Form - an interoperability form must be submitted if funding is being used for emergency communications investments. Please complete this form and submit it to DEMHS.SLCGP@ct.gov

Quarterly Reporting/Monitoring Forms:

On a quarterly basis, DEMHS requires the subgrantee to submit a Project Status Update to the grant program manager. The required Project Status Update forms are as follows:

Quarterly Reporting Schedule:

Following the project completion and reimbursement of an awarded SLCGP project, DEMHS will prepare a project closeout form and send to the subgrantee for confirmation of expenses and project completion and signature. The following forms, may also be requested by DEMHS from the subgrantee to officially close the project.

State Guidance

Federal Guidance