1. (1) The following content shall, at a minimum, be included in each application:

   1. (a) name of applying county;
   2. (b) tax ID;
   3. (c) name of fiscal agent;
   4. (d) amount of grant funding requested; and

   5. (e) responsible contact's:

      1. (i) name;
      2. (ii) full mailing address;
      3. (iii) telephone number; and
      4. (iv) email address;
   6. (f) a scope of work with descriptions of projects and activities for which funds will be used;
   7. (g) a description of expected deliverables and outcomes;

   8. (h) a budget narrative describing proposed fund usage; and

      1. (i) any other information requested by the office.

2. (2) The following documentation shall, at a minimum, be included in each application for a Rural County Grant:

   1. (a) the entity's W9 form, or the county's state vendor number if the county is currently a state vendor;
   2. (b) a letter of support from the CEO board; and

   3. (c) a list of CEO board members including:

      1. (i) names;
      2. (ii) titles;
      3. (iii) organization each member represents;
      4. (iv) terms of appointments; and
      5. (v) contact information; and
   4. (d) a line-item budget describing proposed uses of grant funds.

KEY: Rural County Grant, economic development

Date of Last Change: June 9, 2025

Notice of Continuation: June 20, 2025

Authorizing, and Implemented or Interpreted Law: 63N-4-802; 63N-4-104