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This Direct Assistance Request Form should be used for requesting grant assistance for Ventilator equipment. Please provide all requested information below, then click "Submit Form".
Your request will be forwarded to the FireGrantsHelp grant assistance team.
Thank you!

Note on Procurement Integrity
FireGrantsHelp does not benefit from, participate in or otherwise influence the procurement process for grant awards. All assistance is product and vendor neutral to avoid any real or apparent conflict of interest.