FY23 Accountability Court LEO Grant

FY'23 Accountability Court LEO Grant Application

Agency Name*

Point of Contact*

First Name

Last Name

Contact Number*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Name of Accountability Court(s)*

Check all that apply*

Adult Drug Court Mental Health Court Veterans Treatment Court Family Treatment Court DUI Court

Name of Judicial Circuit*

Project Description*

Needs Statement*

Project Goals*

Project Activities and Services*

Resources Needed*

Is there a MOU agreement in place?*

Yes No

Explanation of MOU*

Upload Detailed Budget Worksheet *

No File Chosen

File uploads may not work on some mobile devices.