VFD Radio Grant Application

Please complete all fields and submit your responses to be considered for the VFD Radio grant.

All VFD Radio Grant applications must be received by 9/23/2024.

Should your application be selected for receiving equipment, you will be notified by 9/30/2024.

If you have questions about the VFD Radio grant or completing this form, please contact:

Kelsey C. Hetrick - Systems Coordinator

Office: 402.471.0209 or kelsey.c.hetrick@nebraska.gov

Application

Primary Contact Name

Primary Contact Phone Number

Primary Contact Email Address

The email address is required and will be used as the primary communication method throughout the project and shared with others doing programming and installation, as they will need to gather additional information from the VFDs. Please provide an email address that will be monitored and maintained for the duration of the project.

Name of Department

FDID

EMS Department

License Number

Type of EMS Department

Mailing Address

Training Room Available at this VFD?

Number of Volunteers

First Due Population Served (count)

Approximately how many people does your department serve?

Land Area Served (square miles)

Approximately how many square miles does your department serve?

How many radios currently within department?

Please provide your PSAP (Dispatch Center)

Current primary radio system technology and frequency band

(Select one for technology used)

(Select one for frequency band)

Please provide current radio programming provider used

If your department should be awarded a radio through the grant, which brand is preferred? (select one)

Please carefully consider your selections during the application process, as once the order is placed for the equipment, changes cannot be made.

Vehicle or desk charger? (select one)

Please define/justify the department’s need(s) for this equipment

Department agrees to a monthly-testing commitment, both from department, and dispatch center?

The granted radios are available to volunteer departments that meet the requirements of Nebraska Revised Statutes section 35-901:
(1) For purposes of this section, volunteer department shall mean volunteer fire department or volunteer first-aid, rescue, or emergency squad or volunteer fire company serving any city, village, county, township, or rural or suburban fire protection district.

I certify that the department meets the definition of Volunteer as stated in the statute.