Policy Development Contribution Program (PDCP) - Application for Funding

Application Form (Word 130 KB)

Please consult the PDCP Applicant Guide for specific instructions for completing this application form as well as information about the assessment process.

Application form
Section 1 - Project Information

Project Title

Proposed/Planned Project or Event Start and End Dates

Is your application for a single year project or a multi-year project? Single year projects finish on March 31st, 2018. Multi-year projects finish on March 31st, 2019.

Single Year        Multi-Year

Section 2 - Applicant Identification

Legal Name
     

Operating Name (if different than above)
     

Business or Registration Number (if applicable)
     

Business Address
     

City/Town
     

Province/Territory

Postal Code
     

Business Telephone Number
     

Business Email address
     

Section 3 - Organization Contact (if applicable)

Given Name/Surname
     

Position Title
     

Telephone Number
     

Email Address
     

Section 4 - Project Description

a) Project Stream (check one):
Communications/Information Exchange Projects
Innovative and Research Projects
Training and Skills Development Projects

b) Related Program Area (check at least one):
Emergency Management
Countering Crime
National Security
Border Strategies
Other (please specify) _______________________________

c) Project Objectives
     

d) Project Activities
     

e) Expected Results
     

f) Knowledge Transfer
     

g) Implementation Plan
     

h) Safeguarding Information
     

i) Risk Management
     

Section 5 –Capacity

Expertise
                                                                                                                                                                                     

Section 6 – Proposed Project Budget

Include a detailed budget of the amount sought using the form below: Annex A, Project Budget must be attached, detailing expenditures and revenues by fiscal year (April 1 – March 31).  

Please ensure you consult item 9 of the Terms and Conditions for the Policy Development Contribution Program for eligible expenses. It is recommended you use the eligible expenses categories as much as possible when detailing your proposed budget in Annex A.

Please ensure you include all funding requirements in your budget, including any translation costs. Unaccounted costs can result in funding delays.

Section 7 - Disclosure

This proposal involves a prospective recipient who is subject to the Values and Ethics Code for the Public Service, the Conflict of Interest Act (S.C. 2006, c.9) or the Parliament of Canada Act (R.S. 1985, c.P-1.01):

No               Yes, details are attached.

The proposal makes use of the services of a lobbyist, as defined by the Lobbying Act:

No               Yes, details are attached.

The proposal involves a departmental official or reviewer who may sit on an advisory committee or board for the proposal:

No               Yes, details are attached.

Section 8 - Declaration

Signature of Authorized Representative               Dated:

____________________________________             _______________________________

Submit to

By email:
PS.PDCP-PCEP.SP@canada.ca

By mail:
PDCP
c/o Strategic Policy and Research Directorate
Public Safety Canada
269 Laurier Avenue West, 18th Floor
Ottawa, ON K1A 0P8

ANNEX A - Project Budget

Revenues for Fiscal Years April 1, 2017 - March 31, 2019

Project Title

Government Funding(municipal, provincial, territorial, and federal)

Year 1: April 1, 2017 – March 31, 2018

Year 2: April 1, 2018 - March 31, 2019

Total

 

Subtotal – Cash

 

 

 

 

Subtotal – In-kind

 

 

 

Total Government Funding
Government assistance XX% (municipal, provincial, territorial and federal)
It cannot exceed 95% of eligible expenditures

Non-government Funding and other

 

Subtotal – Cash1

 

 

 

 

Subtotal – In-kind2

 

 

 

Total Non-government Funding and other

 

 

 

Total Revenues:

 

 

 

1. Cash: actual dollar value or revenues/funding received
2. In-Kind: non-cash input which is given a cash value

Annex B - Project Budget

Eligible Expenses for Fiscal Years April 1, 2017 – March 31, 2019

Project Title

Detailed Eligible Expenditures by Category

Eligible Expenditures

Year 1: April 1, 2017 - March 31, 2018

Year 2: April 1, 2018 – March 31, 2019

Public Safety Canada Funding

Other Government Funding

Non-Government Funding and other

Total Year 1

Public Safety Canada Funding

Other Government Funding

Non-Government Funding and other

Total Year 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal – Cash1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal – In-kind2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Expenditures:

 

 

 

 

 

 

 

 

1. Cash: actual dollar value or revenues/funding received
2. In-Kind: non-cash input which is given a cash value

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