Governor of Montana
State Capitol
Helena, Montana 59620
Dear Governor Schwinden:
Pursuant to our authority as__________________________________________________
of________________________________________________, Montana, we request that an emergency be declared immediately to provide supplemental disaster relief in accordance with the provisions of Title 10, chapter 3, part 3, MCA.
disaster)
a majority vote that an emergency does exist.
Attached is a copy of the signed resolution.
emergency two mill levy authorized by Section
10-3-405, MCA. (Attach copy of resolution
imposing the levy.)
A. Debris Clearance | $___________________ |
B. Protective Measures | ___________________ |
C. Road Systems | ___________________ |
D. Water Control Facilities | ___________________ |
E. Public Buildings and Related Equipment | ___________________ |
F. Public Utilities | ___________________ |
G. Public Facilities Under Construction | |
H. Other Damages (Not in Above Categories) | |
TOTAL ESTIMATED DAMAGES | $___________________ |
Names of funds or accounts involved:_____________________________
__________________________________________________________
__________________________________________________________
ESTIMATED
Cash balance including reserves as of June 30, 19______ | $______________ |
Receipts from two mill emergency levy | _______________ |
Receipts from maximum permissive levy and other anticipated revenues | _______________ |
SUB TOTAL | $______________ |
Less regular operating budget including reserve budgeted for year per Sec. 7-6-2319, MCA. | _______________ |
BALANCE AVAILABLE TO RESPOND TO EMERGENCY | $______________ |
Total damage estimate (from No. 3) | $__________________ |
Less estimated resources available from No. 4) | __________________ |
ESTIMATED ASSISTANCE REQUIRED | $__________________ |
Date __________ | |
___________________________ | |
(Title of Board or Council) _______ | |
By:_________________________ | |
Chairman____________________ | |
___________________________ | |
Member_____________________ | |
_____________________________ | |
Member________________________ |
Mont. Admin. r. 34.3.104
Sec. 10-3-311 MCA; IMP, 10-3-311 MCA;