Once you’ve discussed your grant proposal with us and reviewed the Safety & Health Grant Guidelines, the next step is to complete the application.  

1. Start Your Safety & Health Grant Application.

   Complete the fill-form PDF application by hand or complete the application on a computer (recommended).

   If using a computer, be sure to save the file to your computer or network drive before completing it. Once you add digital signature(s) and save the file, you cannot make any further edits to the document. To that end, we recommend saving an unsigned version of the PDF to your files. 
    
   
    Safety & Health Grant Application (Fill-Form PDF)
    
    
    

2. Complete all required fields and answer all questions in Parts A, B, C, and D of the application.

   Part A – Applicant Information: Identify a project coordinator. Include signatures from both the labor and management representative.

   
   Part B – Purchasing Information: Identify who will make the purchase – an agency, along with the appropriate contact information and signature. The agency fiscal officer or procurement staff is instrumental in providing the required forms and documentation for reimbursement.

   
   Part C – Project Narrative: Explain the full scope of the project. Answer all questions and fields. 

   
   Part D – Project Budget Worksheet: Include a description and total cost for each item. Verify calculations are correct and match the narrative.  
   
    

3. Submit the completed application and attachments to the Partnership's Safety & Health Services. 

   Provide all relevant supplemental information. For example – consultant resumes, vendor quotes, single source justification, etc. Submit the completed application and attachments via email to: [email protected].
   
    

4. Wait for written approval; otherwise, purchases will not be reimbursable. 

   Once formal written approval is received, follow the instructions on the approval letter. The grant may be withdrawn if purchases are not completed, and the required documentation is not received within 90 days from the approval letter OR before the end of the NYS fiscal year in which the grant was awarded, whichever comes first.