Application Forms and Resources

If you are applying for a SAMHSA grant, you must download the application forms found on Grants.gov.  You may require additional forms found on the SAMHSA website. Read the Notice of Funding Opportunity (NOFO) carefully to determine which forms you must include in your application. Applications that do not include all required forms will be screened out and will not be eligible for review.

Budget Templates and Sample SF-424 and SF-424A Forms

All applications must include a detailed budget and narrative that explains the federal and the non-federal expenditures broken out by the object class cost categories listed on SF-424A − Section B (Budget Category) for non-construction awards. Access the Budget and Narrative information, templates, and forms.

HHS 690 Form

Every grant applicant must have a completed HHS 690 form (PDF | 324 KB) on file with the Department of Health and Human Services. Your signature acknowledges that you agree to comply with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, and the Age Discrimination Act of 1975.

Charitable Choice Form SMA 170

You may be required to submit an Assurance of Compliance with SAMHSA Charitable Choice Statutes and Regulations form SMA 170 (PDF | 23 KB). Check the NOFO to determine if this form is required for the grant program for which you are applying.

Additional Materials for Completing Your Grant Application

Additional Resources

Last Updated: 06/05/2023
Source: https://www.samhsa.gov/grants/how-to-apply/forms-and-resources