VOCA 2018 Intent to Submit Form
Please complete this form no later than Tuesday, April 10, 2018. This form is for the Regular VOCA program and not the Housing for Crime Victims Special Project. Grant applications are due Tuesday, April 17, 2018 by 5:00 pm.
Email address *
Agency Name *
Your answer
Contact Name *
Your answer
Contact Phone Number *
Your answer
Does your agency currently have a VOCA contract? *
Under which category do you intend on applying? (choose one) *
How much (approximately) do you intend to request on your VOCA application? *
Your answer
Provide a brief (2-3 sentence) summary of your project. *
Your answer
Never submit passwords through Google Forms.
This form was created inside of State of Utah. Report Abuse - Terms of Service