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2012 EMPG Application Checklist for Branches <br />For Lee Coun <br />Date <br />Received <br />Application Forms for Local EM Program <br />Completed Application Due to Branch Office by February 11 2011 <br />EM Form 66 (Page 2) <br />EM Form 66A (Pages 4 -5 <br />Position Description Certification Form <br />Assurances —Non Construction Programs (Standard Form 424B) <br />Certifications Regarding Lobbying; Debarment, Suspension ... <br />Disclosure of Lobbying Activities (Standard Form SF -LLL <br />Job descii tion/functional statement <br />Organization Chart <br />Other EMPG <br />Information needed and due dates <br />County Quarterly Reports due into Branch (December 31, March 31, June 30, <br />Se tember 30 <br />2011 NIMSCAST rollu from counties to State due September 15, 2011 <br />Signed Cost Re ort due in to Branch May 1, 2012 <br />Signed Annual Grant Award due in to Branch May 1, 2012 <br />Order of Signed Application for February Submission <br />1. EM Form 66 <br />2. EM Form 66A <br />3. Position Description Certification Form <br />4. Assurances — Non Construction Programs (Standard Form 424B) <br />5. Certifications Regarding Lobbying; Debarment, Suspension ... <br />6. Disclosure of Lobbying Activities (Standard Form SF -LLL) <br />7. Job description/functional statement <br />S. Organizational Chart <br />