WORKSPACE FORM
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the “Check For Errors” button. In-progress and completed forms can be uploaded at any time to Grants.gov using the Workspace feature. When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov Applicants tab.1-800-518-4726 [email protected] & PACKAGE DETAILS:Opportunity Number:O-BJA-2025-172542Opportunity Title:BJA FY25 Edward Byrne Memorial Justice Assistance Grant (JAG) Program – Local FormulaOpportunity Package ID:PKG00292120Assistance Listing Number:16.738Assistance Listing Title:Edward Byrne Memorial Justice Assistance Grant ProgramCompetition ID:Competition Title:Opening Date:03/13/2026Closing Date:04/21/2026Agency:Bureau of Justice AssistanceContact Information:OJP Resource CenterAPPLICANT & WORKSPACE DETAILS:Workspace ID:WS01626404Application Filing Name:FY25 JAG - City of Chula VistaUEI:KVBYLRZMAGJ9Organization:CHULA VISTA, CITY OFForm Name:Application for Federal Assistance (SF-424)Form Version:4.0Requirement:MandatoryDownload Date/Time:Mar 19, 2026 12:27:54 PM EDTForm State:No ErrorsFORM ACTIONS:
OMB Number: 4040-0004Expiration Date: 11/30/2025* 1. Type of Submission: * 2. Type of Application:* 3. Date Received: 4. Applicant Identifier:5a. Federal Entity Identifier: 5b. Federal Award Identifier:6. Date Received by State: 7. State Application Identifier:* a. Legal Name:* b. Employer/Taxpayer Identification Number (EIN/TIN): * c. UEI:* Street1:Street2:* City:County/Parish:* State:Province:* Country:* Zip / Postal Code:Department Name: Division Name:Prefix: * First Name:Middle Name:* Last Name:Suffix:Title:Organizational Affiliation:* Telephone Number: Fax Number:* Email:
* If Revision, select appropriate letter(s):* Other (Specify):State Use Only:8. APPLICANT INFORMATION:d. Address:e. Organizational Unit:f. Name and contact information of person to be contacted on matters involving this application:
Application for Federal Assistance SF-424PreapplicationApplicationChanged/Corrected ApplicationNewContinuationRevisionCompleted by Grants.gov upon submission.CITY OF CHULA VISTA956000690KVBYLRZMAGJ9276 4TH AVECHULA VISTASAN DIEGOCA: CaliforniaUSA: UNITED STATES919102699POLICE DEPARTMENTJONATHANALEGREPOLICE ADMINISTRATIVE SERVICES [email protected] * 9. Type of Applicant 1: Select Applicant Type:Type of Applicant 2: Select Applicant Type:Type of Applicant 3: Select Applicant Type:* Other (specify):* 10. Name of Federal Agency:11. Assistance Listing Number:Assistance Listing Title:* 12. Funding Opportunity Number:* Title:13. Competition Identification Number:Title:14. Areas Affected by Project (Cities, Counties, States, etc.):* 15. Descriptive Title of Applicant's Project:Attach supporting documents as specified in agency instructions.
Application for Federal Assistance SF-424C: City or Township GovernmentBureau of Justice Assistance16.738Edward Byrne Memorial Justice Assistance Grant ProgramO-BJA-2025-172542BJA FY25 Edward Byrne Memorial Justice Assistance Grant (JAG) Program – Local FormulaPOLICE COMMUNITY RELATIONSView AttachmentsDelete AttachmentsAdd AttachmentsView AttachmentDelete AttachmentAdd Attachment * a. Federal* b. Applicant* c. State* d. Local* e. Other* f. Program Income* g. TOTAL.Prefix: * First Name:Middle Name:* Last Name:Suffix:* Title:* Telephone Number:* Email:Fax Number:* Signature of Authorized Representative: * Date Signed:
18. Estimated Funding ($):
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.Authorized Representative:
Application for Federal Assistance SF-424* a. ApplicantAttach an additional list of Program/Project Congressional Districts if needed. * b. Program/Project* a. Start Date: * b. End Date:16. Congressional Districts Of:17. Proposed Project:CA-051CA-051Add AttachmentDelete AttachmentView Attachment07/01/202506/30/202669,925.000.000.000.000.000.0069,925.00a. This application was made available to the State under the Executive Order 12372 Process for review onb. Program is subject to E.O. 12372 but has not been selected by the State for review.c. Program is not covered by E.O. 12372.YesNoAdd AttachmentDelete AttachmentView Attachment** I AGREEJONATHANALEGREPOLICE ADMINISTRATIVE SERVICES [email protected] by Grants.gov upon submission. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)* 19. Is Application Subject to Review By State Under Executive Order 12372 Process? Completed by Grants.gov upon submission.
If "Yes", provide explanation and attach