Voca Grant Application - New Hampshire Department Of Justice Page 5

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5
C. ADDITIONAL REQUIRED INFORMATION (Continued)
4.
Identify any or all of the VOCA grant that will be used to meet the priority and
underserved requirements:
a.
Child Abuse
$ ___________
b.
Domestic Violence
$ ___________
c.
Sexual Assault
$ ___________
d.
Underserved:
1. DUI/DWI Crashes
$ ___________
2. Survivors of Homicide Victims
$ ___________
3. Assault
$ ___________
4. Adults Molested as Children
$ ___________
5. Elder Abuse
$ ___________
6. Robbery
$ ___________
7. Other Violent Crime
$ ___________
5.
Please provide the total amount of funding allocated to victim services based on your
current fiscal year budget:
Funding Sources
Current Year
a. Federal (excluding VOCA)
$ ___________
b. VOCA funds (excluding Match)
$ ___________
c. State
$ ___________
d. Local
$ ___________
e. Other
$ ___________
Revised 10/99

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