Disclosure of Prior DFC Funding.docx

This is a required disclosure form for applicants to the Drug-Free Communities (DFC) Support Program grants. The form mandates that applicants indicate whether their coalition has previously received DFC funding by completing a checklist identifying their status as either a coalition with no prior DFC funding or a coalition that formerly received DFC funding. Applicants must disclose all prior DFC funding in a detailed table format that captures the fiscal year(s) of funding, DFC grant award numbers, current and former fiscal agent names, coalition name and state, and names of key personnel including the Program Director/Principal Investigator and Project Coordinator. The form requires a signature and date from the legal applicant, along with their title and organization/agency, and includes an attestation that all information provided is true and correct.

The disclosure form is essential for the FY 2026 Drug-Free Communities Support Program, administered by the Department of Health and Human Services Centers for Disease Control and Prevention (CDC) in coordination with the Executive Office of the President's Office of National Drug Control Policy (ONDCP). This form enables program administrators to track the funding history of community coalitions and distinguish between new applicants and competing continuation applicants. Organizations submitting applications must complete this form as part of their grant submission package to ensure transparency regarding prior federal support received under the DFC program.