Md. Code Regs. 10.45.09.02

Current through Register Vol. 51, No. 24, December 2, 2024

Section 10.45.09.02 - Letter of Request

A. An applicant for temporary emergency funding shall submit to the Commission a letter of request outlining the need for temporary emergency funding.

B. A letter of request shall include the following elements:

(1) Information and documentation sufficient to establish the applicant's qualification as a community health resource as specified in COMAR 10.45.05.02B, .03, or .04;

(2) A brief description of the applicant's mission, programs, and service area;

(3) The name, address, and location of the applicant, including the:

(a) Name, title, address, telephone number, and email address of the director; and

(b) Name and email address of the applicant's contact person;

(4) The signature of an individual responsible for conducting the affairs of the applicant and legally authorized to execute contracts on the applicant's behalf;

(5) A brief account of the organizational and financial structure of the applicant, including the applicant's:

(a) For-profit or not-for-profit status; and

(b) Financial stability over the 3-year period prior to the date of application; and

(6) The nature of the program or service whose existence or funding is threatened, including:

(a) The significance of the program or service to its target group and to the geographic area in which it operates;

(b) The customary and usual amount of funds needed to provide the service or operate the program on a monthly, quarterly, or annual basis;

(c) The normal or usual funding source or sources for the program or service;

(d) The number and area of residence of low income, underinsured, or uninsured persons served by the program or service on a monthly, quarterly, or annual basis;

(e) A concise explanation of why the temporary emergency for which funding is sought could not have been anticipated;

(f) A concise account of any and all emergency funding requests by the applicant over the past 3 years and the results of those requests;

(g) The specific amount of funding requested and the amount of time over which the funding will be expended;

(h) A list of all other potential sources of funding, both internal and external, that have been approached by the applicant for this temporary emergency and their responses;

(i) A clear explanation of how the requested funds will enable the applicant to stabilize the threatened service or program; and

(j) Any other information that the Commission may require on the emergency grant application form.

Md. Code Regs. 10.45.09.02

Regulations .02 adopted as an emergency provision effective June 1, 2007 (34:13 Md. R. 1149); adopted permanently effective November 5, 2007 (34:22 Md. R. 1977)