An applicant for temporary emergency funding shall submit to the Commission a letter of request outlining the need for temporary emergency funding. A letter of request shall include the following elements: 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; A brief description of the applicant's mission, programs, and service area; The name, address, and location of the applicant, including the: Name, title, address, telephone number, and email address of the director; and Name and email address of the applicant's contact person; The signature of an individual responsible for conducting the affairs of the applicant and legally authorized to execute contracts on the applicant's behalf; A brief account of the organizational and financial structure of the applicant, including the applicant's: For-profit or not-for-profit status; and Financial stability over the 3-year period prior to the date of application; and The nature of the program or service whose existence or funding is threatened, including: The significance of the program or service to its target group and to the geographic area in which it operates; The customary and usual amount of funds needed to provide the service or operate the program on a monthly, quarterly, or annual basis; The normal or usual funding source or sources for the program or service; 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; A concise explanation of why the temporary emergency for which funding is sought could not have been anticipated; A concise account of any and all emergency funding requests by the applicant over the past 3 years and the results of those requests; The specific amount of funding requested and the amount of time over which the funding will be expended; 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; A clear explanation of how the requested funds will enable the applicant to stabilize the threatened service or program; and Any other information that the Commission may require on the emergency grant application form.