# COMAR Title 10 — Maryland Department of Health

## Subtitle 45 — Maryland Community Health Resources Commission

### Chapter 09 — Emergency Grant Funding

#### Regulation .02 Letter of Request.

*COMAR 10.45.09.02*

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 10.45.05.02, .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.