SPLOST Funding Request

SPLOST Funding Request

Oglethorpe County Emergency Services Commission
Point of Contact*

First NameLast Name
Title/Position*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Department*

Emergency Medical Services (EMS)Emergency Management Agency (EMA)Sheriff's OfficeFire DepartmentE911Public WorksCoroner's Office
Fire Station*

Sandy CrossMaxeysWolfskinPleasant HillCrawfordGladeDevil's PondBeaverdamArnoldsvilleVestaSalemWesley ChapelAll Departments
Annual Budget*
Request Type*

VehicleEquipmentPPEOther
- What vehicle are you replacing?*
- Type:*
  
  Fire - EngineFire - TankerFire - RescuePatrol VehicleAmbulanceOther
- How many vehicles of the above selected type does your department currently have?*
- If 0, what new mission does your department have?*
- What is your department's plan for the vehicle being replaced?*
  
  PurgeReassign
- The goal of the strategic plan is to assign priority funding to vehicles/apparatuses that are in need of replacement due to age and/or performance. Vehicles/apparatuses that are in good enough condition to be reassigned to another role will automatically be of a lower priority than those that need to be purged.
  
  Vehicles/apparatuses purchased to replace a vehicle that is going to be reassigned are only eligible for 10% SPLOST funding, provided that the reassigned vehicle/apparatus is able to fulfill the goals of the strategic plan.
- What equipment are you replacing?*
- What is your department's plan for the equipment being replaced?*
  
  PurgeReassign
- Is the equipment being reassigned essential for life safety?*
  
  YesNo
- Is the equipment being reassigned required by federal/state statutes, regulations, or codes?*
  
  YesNo
- If yes, please reference what federal/state statute, regulation, or code.*
  Note: NFPA/ANA are not considered regulatory boards.
- The goal of the strategic plan is to assign priority funding to equipment that is in need of replacement due to age and/or performance. Equipment that is in good enough condition to be reassigned to another role will automatically be of a lower priority than those that need to be purged.
- What PPE are you replacing?*
- How many personnel do you currently have?*
- How may currently meet the minimum regulatory requirements?*
- How may currently meet the minimum regulatory requirements?*
- How may currently meet the minimum regulatory requirements?*
- Please attach a current roster of personnel who meet the minimum regulatory requirements.*
  
  Cancelof
- What are you requesting funds for?*
- PLEASE NOTE:
  All requests for funding must fall within the scope of the Strategic Plan.
- Total amount of funding requested:*
- If approved, amount your department is responsible for:*
- Is this request the HIGHEST funding priority for your department?*
  
  YesNo
- Is your department actively participating in available state and/or federal grant projects?*
  
  YesNo
- If yes, which grant projects?*
  
  Federal (FEMA, USDA, SBA)Department of Public Health (DPH)Georgia Trauma CommissionGeorgia ForestryGFSTC Fireworks GrantOther
- What makes this request a priority?*
- Which goal(s) of the Strategic Plan does this request fulfill?*
  
  Effective CommunicationsWorkforce Recruitment and RetentionVehicle/Apparatus Life Cycle ReplacementCapital Equipment Life Cycle ReplacementTraining and EducationFiscal ResponsibilityPerformance MeasuresISO Project
- How does this request fulfill the Effective Communications goal?*
- How does this request fulfill the Workforce Recruitment and Retention goal?*
- How does this request fulfill the Vehicle/Apparatus Life Cycle Replacement goal?*
- How does this request fulfill the Capital Equipment Life Cycle Replacement goal?*
- How does this request fulfill the Training and Education goal?*
- How does this request fulfill the Fiscal Responsibility goal?*
- How does this request fulfill the Performance Measures goal?*
- How does this request fulfill the ISO Project goal?*
- How will this purchase improve operations?*
- Please provide any further information you feel should be considered:*
- Should be Empty: