Kentucky Office of Highway Safety

Grantee Forms
All of the following forms are to be sent to:
- Kentucky Office of Highway Safety
Division of Highway Safety Programs
200 Mero St., 4th Floor
Frankfort, Kentucky 40622
- To download any of the following forms, click on the "Click here to download" link with the right mouse button. Then select "Save Target As.." to download the file.
2010 Mobilization Campaign Participation Form
- Click here to download
- used for indicating participation in May and August mobilizations
- Format: Microsoft Word Document
- Last updated: October 2009
Final Reporting Form FY09 - Law Enforcement Projects
Final Reporting Form FY09 - Non-Law Enforcement Projects
Activity Reporting Form
- Click here to download
- used for reporting activity including enforcment hours worked, violations, etc.
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Supplemental Activity Reporting Form for Checkpoints
- Click here to download
- used for reporting activity including enforcment hours worked, violations, etc. at checkpoints
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Milestone Reporting Form
- Click here to download
- used for reporting planned activities
- Format: Microsoft Word Document
- Last updated: October 2009
Agency Overtime Worksheet
- Click here to download
- used for calculating reimbursement for agency for worked overtime
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Officers Overtime Detail Log
- Click here to download
- detailed log for officers to use when working overtime, with places for indicating citations
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Reimbursement Claim Checklist for Law Enforcement
- Click here to download
- used for filing claims for reimbursement by law enforcement agencies
- Format: Microsoft Word Document
- Last updated: October 2009
Reimbursement Claim Form for Law Enforcement
- Click here to download
- used for filing claims for reimbursement by law enforcement agencies
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Reimbursement Claim Checklist for Non-Law Enforcement
- Click here to download
- used for filing claims for reimbursement by law enforcement agencies
- Format: Microsoft Word Document
- Last updated: October 2009
Reimbursement Claim Form for Non-Law Enforcement
- Click here to download
- used for filing claims for reimbursement by law enforcement agencies
- Format: Microsoft Excel Spreadsheet
- Last updated: October 2009
Detailed Monthly Expenditure Report for Non-Law Enforcement
- Click here to download
- used for filing claims for reimbursement by law enforcement agencies
- Format: Microsoft Word Document
- Last updated: October 2009
Detailed Monthly Narrative Report for Non-Law Enforcement
Out-of-State / Overnight Travel Request Form for Non-Law Enforcement
- Click here to download
- used for requesting approval for travel
- Format: Microsoft Word Document
- Last updated: October 2009
Non-expendable Property Form
- Click here to download
- used for reporting non-expendable equipment purchases
- Format: Microsoft Word Document
- Last updated: October 2009
Monitoring Visit Preparation Checklist
- Click here to download
- used for preparing for monitoring visits
- Format: Microsoft Word Document
- Last updated: October 2009
Seat Belt Survey Form and Instructions
- Click here to download
- used for conducting seat belt surveys
- Format: Microsoft Word Document
- Last updated: October 2009
State Travel Form
- Click here to download
- used for claims for travel to kentucky Lifesavers Conference
- Format: Microsoft Word Document
- Last updated: October 2008
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