FY24 Law Enforcement Mental Health and 

Wellness Act (LEMHWA) Grant Program

Required Application Questions

CPA Information

Type of Agency 

Type of Agency (select one)

• Law Enforcement

• Non- Law Enforcement

From the list below, please select the agency which best describes the applicant.

• [Law Enforcement Agency list]

• [Non- Law Enforcement Agency list]

Duplication of Funding 

Instructions:

Applicants are required to disclose whether they have pending applications for federally funded 

assistance or active federal awards that support the same or similar activities or services for 

which funding is being requested under this application.

Be advised that as a general rule, COPS Office funding may not be used for the same item or 

service funded through another funding source. However, leveraging multiple funding sources in 

a complementary manner to implement comprehensive programs or projects is encouraged and 

is not seen as inappropriate. To aid the COPS Office in the prevention of awarding potentially 

duplicative funding, please indicate whether your agency has a pending application or an active 

award with any other federal funding source (e.g., direct federal funding or indirect federal 

funding through state sub-awarded federal funds) which supports the same or similar activities 

or services as being proposed in this COPS Office application.

• Do you have any current, active non-COPS Office award with any other federal funding source 

(e.g., direct federal funding or indirect federal funding through state subawarded federal funds) 

that supports the same or similar activities or services as being proposed in this COPS Office 

application?

o Yes 
 If Yes, for each potentially duplicative non-COPS Office award, provide the following 

detailed information: name of federal awarding agency, or state agency for subawarded 

federal funding; award number; program name; award start and end dates; award 

amount; and description of how this project differs from the application for COPS office 

funding.

o No

• Do you have any pending non-COPS Office grant applications with any other federal funding 

source (e.g., direct federal funding or indirect federal funding through state subawarded federal 

funds)that support the same or similar activities or services as being proposed in this COPS 

Office application?

o Yes

 If Yes, for each potentially duplicative non-COPS Office grant application, provide the 

following detailed information: application number (if known); program name; project 

length; total requested amount; items requested; and describe how this project differs 

from the application for COPS Office funding.

o No

Certification of Review of 28 CFR Part 23/Criminal Intelligence 

Certification of Review of 28 C.F.R. Part 23/Criminal Intelligence Systems: 

If your agency is requesting COPS Office funds for equipment or technology that will be used to operate 

an interjurisdictional criminal intelligence system that receives, stores, analyzes, exchanges, or 

disseminates data regarding ongoing criminal activities, you must agree to comply with the operating 

principles at 28 C.F.R Part 23.

If you are requesting COPS Office funds to operate a single agency database (or other unrelated forms of 

technology) and will not share criminal intelligence data with other jurisdictions, 28 C.F.R. Part 23 does 

not apply. 

Please review the CPA Resource Guide for additional information. 

• Please check one of the following, as applicable to your agency’s intended use of COPS Office 

funds: 

o No, my agency will not use these COPS Office funds (if awarded) to operate an 

interjurisdictional criminal intelligence system.

o Yes, my agency will use these COPS Office funds (if awarded) to operate an 

interjurisdictional criminal intelligence system and will comply with the requirements of 

28 C.F.R. Part 23.
CERTIFICATION OF REVIEW AND REPRESENTATION OF COMPLIANCE 

□ By checking the box, the applicant indicates he or she understands that the signatures of the 

Law Enforcement Executive /Program Official, Government Executive / Financial Official, and the 

Person Submitting this Application on the Reviews and Certifications represent to the COPS 

Office that: 1. the applicant will comply with all legal, administrative, and programmatic 

requirements that govern the applicant for acceptance and use of federal funds as outlined in 

the applicable COPS Office Solicitation and Resource Guides, the COPS Office award owner's 

manual, the DOJ Grants Financial Guide, Assurances, Certifications and all other applicable 

program regulations, laws, orders, and circulars; 2. the applicant understands that as a general 

rule COPS Office funding may not be used for the same item or service funded through another 

funding source; and 3. the applicant and any required or identified official partner(s) listed in 

this application mutually agreed to this partnership prior to submission. 

Acknowledgement of Electronic Signatures 

By checking the box, the applicant indicates that he or she understands that “clicking to agree” in this 

application and the required forms, including the Assurances, Certifications, and Disclosure of Lobbying 

Activities form are just as legally enforceable as physical signatures.

CPA Gen Solicitation Quest

Research and Development 

Instructions: For the purposes of this solicitation, R&D as defined by 2 C.F.R. §200.87 means all research 

activities, both basic and applied, and all development activities that are performed by nonfederal 

entities. The term “research” also includes activities involving the training of individuals in research 

techniques where such activities use the same facilities as other research and development activities 

and where such activities are not included in the instruction function. “Research” is defined as a

systematic study directed toward fuller scientific knowledge or understanding of the subject studied. 

“Development” is the systematic use of knowledge and understanding gained from research directed 

toward the production of useful materials, devices, systems, or methods, including design and 

development of prototypes and processes.

Please select “yes” if any part of your project could be considered R&D or “no” if no portion of your 

project would support R&D. 

• Could any portion of your project be considered research and development (R&D) as defined by 

2 C.F.R. §200.87?

o Yes
o No

Youth-Centered Project 

Instructions: For the purposes of this solicitation, please select “yes” if a purpose of some or all of the 

activities to be carried out under the award (whether by the recipient, or a subrecipient at any tier) is to 

benefit a set of individuals under 18 years of age. NOTE: A special award condition will apply to all 

youth-centered awards. This condition will require recipients and subrecipients to make determinations 

of suitability before certain covered individuals interact with participating minors under the age of 18 

years old in the course of activities funded under the award.

• Could any activities under your project involve interactions with minors under the age of 18 

years?

o Yes

o No

Training 

Instructions: The COPS Office defines training as the teaching and learning activities carried out for the 

primary purpose of helping members of an organization other than your own acquire and apply the 

knowledge, skills, abilities, and attitudes needed by a particular job or organization. Training is driven by 

specific goals and objectives; it is not a single event but rather an ongoing process that requires 

continuous self-reflection and evaluation. Guides, webinars, articles, conference presentations, toolkits, 

podcasts, videos, blogs, and news feeds (to provide a few examples) can serve as support material in 

trainings or as standalone materials to increase knowledge, but on their own they are not defined as 

training by the COPS Office. Please select “yes” if any part of your project fits within the definition of 

training or “no” if no portion of your project fits within the definition of training. 

• Could any portion of your project be considered training?

o Yes

o No

U.S. Attorney’s District Office 

• Please select your U.S. Attorney’s District Office from the below drop-down options.

o [List of States]

 [list of offices based on identified state] 

Law Enforcement Executive/Program Official Contact Information 
Please provide the name and contact information for the highest ranking Law Enforcement or 

Program Official and Government Executive or Financial Official for your agency or 

organization, please see instructions below.

LAW ENFORCEMENT EXECUTIVE/PROGRAM OFFICIAL

This position will ultimately be responsible for the programmatic management of the award. 

Instructions for Law Enforcement Agencies: 

For law enforcement agencies, the Law Enforcement Executive is the highest ranking official in 

the jurisdiction (Chief of Police, Sheriff, or equivalent). Before this application can be submitted, 

the Entity Administrator in JustGrants must invite this individual to apply for a JustGrants 

account with the role of Authorized Representative, and this individual must log in to 

JustGrants to review the application.

Instructions for Non-Law Enforcement Agencies: 

For non-law enforcement agencies (e.g., institutions of higher education, school districts, 

private organizations, etc.), the Program Official is the highest-ranking official in the applicant 

agency (e.g., executive director, chief executive officer, superintendent, or equivalent). Please 

note that information for non-executive positions (e.g., clerks, trustees) is not acceptable. 

Before this application can be submitted, the Entity Administrator in JustGrants must invite this 

individual to apply for a JustGrants account with the role of Authorized Representative, and this 

individual must log in to JustGrants to review the application. 

First Name: Last Name: 

Phone: Email Address: 

 

GOVERNMENT EXECUTIVE/FINANCIAL OFFICIAL
This position will ultimately be responsible for the financial management of the award. Please note that 

information for non-executive positions (e.g., clerks, trustees) is not acceptable. Instructions for Law 

Enforcement Agencies: 

For law enforcement agencies, this is the highest ranking government official within your 

jurisdiction (e.g., Superintendent, Mayor, City Administrator, or equivalent). Before this 

application can be submitted, the Entity Administrator in JustGrants must invite this individual 

to apply for a JustGrants account with the role of Authorized Representative, and this individual 

must log in to JustGrants to review the application.

Instructions for Non-Law Enforcement Agencies and Non-Government Agencies: 

For non-law enforcement agencies (e.g., institutions of higher education, school districts, 

private organizations, etc.), this is the financial official who has the authority to apply for this 

award on behalf of the applicant agency (e.g., Chief Financial Officer, Treasurer, or equivalent). 

Please note that information for non-executive positions (e.g., clerks, trustees) is not 

acceptable. Before this application can be submitted, the Entity Administrator in JustGrants 

must invite this individual to apply for a JustGrants account with the role of Authorized 

Representative, and this individual must log in to JustGrants to review the application. 

First Name: Last Name: 

Phone: Email Address: 

Instructions for Application Submitter Contact: 

Enter the application point of contact's name and contact information. 

First Name: Last Name: 

Phone: Email Address: 

Law Enforcement and Community Policing Strategy
Instructions: The following is the COPS Office definition of community policing that emphasizes the 

primary components of community partnerships, organizational transformation, and problem solving: 

Community policing is a philosophy that promotes organizational strategies that support the systematic 

use of partnerships and problem solving techniques to proactively address the immediate conditions that 

give rise to public safety issues such as crime, social disorder, and fear of crime. Please refer to the COPS 

Office website (https://cops.usdoj.gov/RIC/ric.php?page=detail&id=COPS-P157) for further information 

regarding this definition and its sub-elements.

Please answer the following questions regarding your community support and impact on the 

jurisdiction, public safety need, and community policing and engagement efforts

• To what extent is there community support in your jurisdiction for implementing the proposed 

award activities?

o High level of support

o Moderate support

o Minimal support

• If awarded, to what extent will the award activities impact the other components of the criminal 

justice system in your jurisdiction?

o Potentially decreased impact

o No change in impact

o Potentially increased impact

• Explain how the proposed activities address a specific public safety need. (max 250 words) 

• Explain how the proposed activities will be utilized to reorient any affected law enforcement 

agency's mission toward community-oriented policing or enhance its involvement in or 

commitment to community-oriented policing. (max 250 words)

• Identify any current governmental, community or agency initiatives that complement or will be 

coordinated with the proposed activities. (max 250 words)

• Identify any key community or other stakeholder partnerships (community groups, private 

and/or public agencies) that will play a role in the implementation of the proposed activities. 

(max 250words)

• Describe the strategy to consult with any community groups and appropriate private and public 

agencies in the implementation of the proposed activities. (max 250 words)

Explanation of Need for Financial Assistance 
• All applicants are required to explain their inability to address the need for this award without 

federal assistance. Please do so in the space below.

o [please describe] 

Continuation of Support After Federal Funding Ends 

Instructions: The questions in this section will be used for programs without a retention requirement to 

report any plans to continue the program or activity after the conclusion of federal funding.

• Does your agency or organization plan to obtain necessary support and continue the program, 

project, or activity following the conclusion of federal support?

o Yes

o No

• Please identify the source(s) of funding that your agency or organization plans to utilize to 

continue the program, project, or activity following the conclusion of federal support (check all 

that apply):

o General funds

o Issue bonds or raise taxes

o Private sources and donations

o Non-federal asset forfeiture funds (subject to approval from the state or local oversight 

agency)

o State, local, or other non-federal grant funding

o Fundraising efforts

o Other

 [please describe] 
FY24 LEMHWA Elig

Applicant Eligibility

Instructions: The following questions will be used to determine eligibility for the LEMHWA program. 

NOTE: If you select “no” to any of the below questions, you will be considered ineligible for the 

LEMHWA program and will not receive consideration for funding.

• Please indicate if your jurisdiction is primarily considered rural, urban, or suburban.

o Rural

o Urban

o Suburban

• Is your agency established and currently operational? A law enforcement is established and 

operational if the jurisdiction has passed authorizing legislation and it has a current operating 

budget.

o Yes

o No

Instructions: An agency with primary law enforcement authority is defined as the first responder to calls 

for service for all types of criminal incidents within its jurisdiction. Agencies are not considered to have 

primary law enforcement authority if they only: respond to or investigate specific type(s) of crime(s), 

respond to or investigate crimes within a correctional institution, serve warrants, provide courthouse 

security, transport prisoners, have cases referred to them for investigation or investigational support or 

only some combination of these. 

• Based on the definition above, does your agency have primary law enforcement authority? [Or, 

if contracting to receive services, does the agency that will be providing law enforcement 

services have primary law enforcement authority for the population to be served?] 

o Yes

o No

FY24 LEMHWA Grant App Ques

Organizational readiness

• Please describe the current mental health and wellness services your agency provides (e.g., regularly

scheduled mental health check-ins, on-site counseling, off-site counseling, virtual counseling, 

debriefing and/or critical incident stress management (CISM) program, trained peer counselors, 
chaplaincy / spiritual support, suicide prevention programming, mental health awareness training, 

mindfulness practice, quiet room, or other). (Max 250 words) Note: An answer of no current services 

available is an acceptable answer. You will not be penalized. The purpose of this question is to 

understand your agency’s starting point. 

• LEMHWA funding may be used for new programming, or to expand on existing mental health and 

wellness efforts. Please list and describe the specific activities or services that your agency would 

implement or provide if awarded funding. 

Project impact and deliverables

• Will your project service multiple agencies or include regional partnerships? 

o Yes

 If yes, please list the agencies that will be impacted and/or your regional 

partnerships (Max 250 words)

o No 

• Please estimate the total number of individuals who will be eligible to receive mental health and 

wellness services after full implementation of this grant. If your project serves multiple agencies or a 

regional partnership, please include the total number of individuals eligible from all participating 

agencies.

• Please enter the total number of employees (sworn and non-sworn) in your agency or in all agencies 

receiving services (if applicable).

• Have you received COPS Office LEHMHWA funding in either of the last 2 grant cycles (2022 or 

2023)? 

o Yes

 If yes, please describe your project deliverable(s), specifically those that can be 

distributed by the COPS Office to the law enforcement field to share knowledge and 

experience. (e.g., a COPS publication, a Dispatch article, a Beat Podcast, Model 

policies, tools/templates). Note: This is a new requirement for previously funded 

LEMHWA grantees.

o No

 If no, please describe your project deliverables (e.g. number of trainings, number of 

visits, number of contacts, clinician hours, policy changes, final report, Dispatch 

article, podcast, templates, written policy, etc.)

• What specific outcomes does your agency expect to accomplish with this funding and how will the 

project team track or measure them? (e.g., internal survey(s) of job satisfaction, internal survey(s) of 

work-related stress, community survey(s) of topics such as trust in or satisfaction with the agency, 

change in rates of use of force, or other–please describe). (Max 250 words)

• Will your agency incorporate an evaluation component to your project?

o Yes
 If yes, please describe the evaluation component your agency plans to implement. 

(Max 250 words)

o No

Management and implementation

• Describe the overall management and implementation plan for the project. This should 

include the key team members from your agency and any community or stakeholder 

partnerships (community groups, private and/or public agencies) who will support this 

project. Please include a detailed description of the responsibilities and role of each team 

member and partner. (Max 500 words) Note: A timeline of project deliverables, activities 

and who will complete the activities, and milestones will need to be uploaded in the 

“Additional Application Components” section. 

• Please describe how you will ensure appropriate confidentiality for participants and service 

recipients. (Max 250 words)

• Please provide a short description of your marketing plan, focusing on what new or 

enhanced options you will use to increase program awareness (Max 250 words)

• LEMHWA applicants are encouraged to include in their proposed budget, costs associated 

with attendance to a conference focused on law enforcement mental health and wellness. 

What mental health and wellness–related regional or national conference(s) do you plan on 

attending if awarded LEMHWA funding?

• Please describe how these efforts will be sustained once the award ends. (Max 250 words)