Hazard Mitigation Grant Program (HMGP)
Pre-Application/Notice of Intent


FEMA -

- DR-

Applicant:

Date:

Point of Contact:

Phone:

Address:





Project Title:

Project Location:




Brief Project Description:














Estimated Total Cost:

If this project meets the minimum requirements, please send HMGP sub-grant application 
materials to the point of contact at the address above.



Signature

Date



Name (typed or printed)

Title

Form II-1, Pre-Application
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