61—9.55(13) Contents of application.

1. 9.55(1)  A paragraph describing the agencies, units of government, or public or private nonprofit programs requesting the funds.

2. 9.55(2)  A description of services for which funding is being requested. The description shall include but not be limited to the following:

   1. a. The geographical area to be served.
   2. b. The crime victim population to be served.
   3. c. Victim eligibility requirements for the applicant’s services.
   4. d. A description of substantial financial support from other sources.
   5. e. The intended use of volunteers, if any.
   6. f. The stated goals and objectives or measurable activities of the program.
   7. g. A description of the proposed services to be implemented during the funding year.
   8. h. The amount of funds requested.
   9. i. The amount of cash or in-kind resources or combination thereof that is committed where required by the section.
   10. j. Proof of coordination with appropriate agencies at the local level.
   11. k. A total program budget for all services provided by the applicant’s crime victim program.
   12. l. A proposed budget for the requested funds.
   13. m. A list of other anticipated sources of income, including written commitments, if possible, and plans for continued funding of the funded activities.
   14. n. Other information identified by the section to be included in the application to assist the application review committee and the board.
   15. o. Signed certified assurances as required by statute or regulation or otherwise designated by the section.

Each application shall contain the following information:

[ARC 8358C, IAB 11/13/24, effective 12/18/24]