FY 2027 EMS TRAUMA-RELATED EQUIPMENT GRANT

Purpose: Provide eligible 911-zone providers funding to purchase trauma-related equipment to enhance prehospital trauma care in Georgia.

Awards: Funding varies by eligible 911-zone provider (ATTACHMENT A). Grant funds may not be used to supplant, reduce, or reallocate existing local budget allocations for 911-zoned EMS response systems.

Scope: Grant funds can be used to purchase eligible equipment approved by the GTC EMS Committee (ATTACHMENT B). If an equipment item is not listed on the approved list, agencies may submit a special equipment request form for EMS consideration by October 2, 2026.

Application: The grant application starts on page 2. Applications will be accepted starting September 1, 2026. The deadline to apply will be October 31, 2026

• Applications must be completed via Jotform, including the attachment of the completed notarized affidavit (ATTACHMENT C), by October 31, 2026.  Applications will not be accepted after this deadline.
• The Georgia Trauma Commission staff will evaluate all timely submitted applications.
• Applicants will receive a notification of receipt, approval, and payment updates.
• Please allow up to 60 days to receive grant funds after submitting your application. Grant payments are remitted via the payment method approved by the State of Georgia Accounting Office.

The applying organization must:

1. Be a 911-zone provider in the county for which grant funds are requested
2. Be contracted to remain in the county through June 30, 2027.
3. Participate in the respective EMS region system plan.
4. Attend 50% of the Regional Trauma Advisory Committee (RTAC) in-person and/or virtual quarterly meetings.
5. Maintain compliance with the Department of Public Health State Office of EMS data submission requirements.

Please complete this application in its entirety and submit it via JotForm by the deadline. The Georgia Trauma Commission will not accept applications received after October 31, 2026

Please note "peak demand staffed" does not infer total ambulances. The peak number of ambulances are thte total number of scheduled and staffed on a consistent basis. The number reported in this application will be used for next year's grant. The reported peak number is subject to further inquiry.

Instructions: Complete the table below by listing each piece of eligible equipment that has beenpurchased or will be purchased and placed into service. Refer to ATTACHMENT B for the list of approvedequipment. The maximum amount you may request is provided in ATTACHMENT A.

• If the total cost of the equipment exceeds the amount allocated to your agency, you will bereimbursed only up to the approved allocation.
• If the total cost of the equipment is less than the approved allocation, you will be reimbursed forthe amount requested in the application.
• Do not enter “see invoice” in the table. Each piece of equipment must be listed separately with itscorresponding cost. Applications that list “see invoice” instead of itemizing each piece ofequipment will be returned to the sender for correction.
• If you need more space than the table provides, download the Excel version of the table,complete it, and upload it with your affidavit.

Please list your items with complete details below. Please insert "n/a" where applicable.

I certify the information contained in the submitted application is true and accurate to the best of my knowledge and that I have submitted this application and notarized affidavit affirming all nine (9) conditions on behalf of the Applying Organization.