Highway Safety Grants

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​Law Enforcement Grantee Forms

All of the following forms are to be sent to:
 
Kentucky Office of Highway Safety
Division of Highway Safety Programs
200 Mero St., 4th Floor
Frankfort, Kentucky 40622​​

Final Reporting Form - Law Enforcement Projects
  • used for year end reporting of grant activities
  • Format: Microsoft Word Document
  • Last updated: February 2011
Activity Reporting Form
  • used for reporting activity including enforcement hours worked, violations, etc.
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Supplemental Checkpoints Reporting Form
  • used for reporting activity including enforcement hours worked, violations, etc. at checkpoints
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Agency Overtime Worksheet
  • used for calculating reimbursement for agency for worked overtime
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Officers Overtime Detail Log
  • detailed log for officers to use when working overtime, with places for indicating citations
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Reimbursement Claim Checklist - Law Enforcement
  • used for filing claims for reimbursement by law enforcement agencies
  • Format: Microsoft Word Document
  • Last updated: October 2011
Reimbursement Claim Form - Law Enforcement
  • used for filing claims for reimbursement by law enforcement agencies
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Non-expendable Property Form
  • used for reporting non-expendable equipment purchases
  • Format: Microsoft Word Document
  • Last updated: October 2011
Monitoring Visit Preparation Checklist
  • used for preparing for monitoring visits
  • Format: Microsoft Word Document
  • Last updated: October 2011
Seat Belt Survey Form and Instructions
  • used for conducting seat belt surveys
  • Format: Microsoft Word Document
  • Last updated: October 2011
State Travel Form
  • used for claims for travel to Kentucky​ Lifesavers Conference
  • Format: Excel
  • Last updated: October 2006
 

​Non-Law Enforcement Grantee Forms

All of the following forms are to be sent to:
 
Kentucky Office of Highway Safety
Division of Highway Safety Programs
200 Mero St., 4th Floor
Frankfort, Kentucky 40622​​
 
Final Reporting Form - Non-Law Enforcement Projects
  • For year end reporting of grant activites
  • Format: Microsoft Word Document
  • Last updated: February 2011
Reimbursement Claim Checklist for Non-Law Enforcement
  • Checklist for filing claims for reimbursement by non-law enforcement
  • Format: Microsoft Word Document
  • Last updated: October 2011
Reimbursement Claim Form for Non-Law Enforcement
  • Used for filing reimbursement claims by non-law enforcement agencies
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Detailed Monthly Expenditure Report for Non-Law Enforcement
Click here to download
  • Used for filing reimbursement claims by non-law enforcement agencies
  • Format: Microsoft Word Document
  • Last updated: October 2011
Monthly Activity Report for Non-Law Enforcement
  • Used for filing reimbursement claims by non-law enforcement agencies
  • Format: Microsoft Word Document
  • Last updated: October 2011
Out-of-State / Overnight Travel Request Form for Non-Law Enforcement
  • Used for requesting approval for travel
  • Format: Microsoft Excel
  • Last updated: October 2011
Non-expendable Property Form
  • Used for reporting non-expendable equipment purchases
  • Format: Microsoft Word Document
  • Last updated: October 2011
Monitoring Visit Preparation Checklist
  • Used for preparing for monitoring visits
  • Format: Microsoft Word Document
  • Last updated: October 2011
Seat Belt Survey Form and Instructions
  • Used for conducting seat belt surveys
  • Format: Microsoft Word Document
  • Last updated: October 2011
State Travel Form
Click here to download
  • Used for claims for travel
  • Format: Excel
  • Last updated: October 2006
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
200 Mero Street, 4th FloorFrankfortKY40622KY8:00am-4:30pm EST, M-F(502) 564-1438(502) 564-0903 highwaysafety@ky.govhttp://maps.google.com/maps?hl=en&q=200+mero+street+frankfort+ky&ie=UTF8&hq=&hnear=200+Mero+St,+Frankfort,+Franklin,+Kentucky+40601&gl=us&sqi=2&z=16&iwloc=Ahttps://www.facebook.com/kyhighwaysafetyhttps://twitter.com/kyhighwaysafetyhttps://www.youtube.com/user/KyHwySafety
Highway Safety Online Mobilization Tracking System

​This page is maintained by Brad.Franklin@ky.gov, who may be contacted to make corrections or changes.

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