Mont. Admin. r. 34.3.104

Current through Register Vol. 1, January 10, 2025
Rule 34.3.104 - APPLICATION FOR ASSISTANCE
(1) If the total estimated expenditures necessary to respond to the emergency are greater than the estimated resources available for the emergency, the board or council may request the governor to declare an emergency and to initiate action to provide state financial assistance in accordance with such declaration. The application should be made on the following form: The Honorable Ted Schwinden

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.

1.SITUATION
A. (Date and description of conditions causing

disaster)

B. (Description of damages to public sector)
C. (Description of damages to private sector)
D. (Description of economic impact)
2.OFFICIAL ACTION
A. The County Disaster Committee has determined by

a majority vote that an emergency does exist.

Attached is a copy of the signed resolution.

B. This __________________________has levied the

emergency two mill levy authorized by Section

10-3-405, MCA. (Attach copy of resolution

imposing the levy.)

C. (Other action taken)
3.DAMAGE ESTIMATES

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

$___________________

4.LOCAL RESOURCES

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

$______________

5.ASSISTANCE REQUIRED

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

NEW, 1978 MAR p. 716, Eff. 5/26/78; TRANS, from Dept of Admin., Ch. 111, L. 1985, Eff. 10/1/85.

Sec. 10-3-311 MCA; IMP, 10-3-311 MCA;