Municipal Climate Recovery Fund

Emergency Access MCRF

Application due Friday, November 1, 2024
Application Preparation List (Submissions to Follow)

Prior Two Years Financial StatementsCurrent Budget to ActualSummary of Current FEMA Damage InventoryNon-FEMA Cost DocumentationBond Counsel Engagement Letter
Name of Applicant (Governmental Unit)*
EIN*
Primary Contact*

First NameLast Name
E-mail of Contact*
example@example.com
Phone number of Applicant
Address of Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Itemized Loan Request*

	Requested Amount
Loan Payoff
Reimbursement of Interfund Loan
Direct Expense Reimbursement
Other
Total of Request

Lender Name for Loan Payoff
If Other was entered above, please describe use.
FY 2023 Financial Statement*

Cancelof
FY 2024 Financial Statement (Self Prepared or Draft Audit Acceptable)*

Cancelof
YTD Budget to Actual *

Cancelof
FEMA Damage Inventory / Summary of Expenses to Date (Itemized Summary Preferred)*

Cancelof
Estimated Six-Month Budget for Flood Recovery Expenses

Cancelof
Bond Counsel Engagement Letter (see https://www.vtbondbank.org/approved-legal-counsels)*

Cancelof

Critical Access MCRF

Application due Friday, November 1, 2024
FTEs for Governmental Unit (FY 2024)
Please provide Brief narrative describing need for loan and impact on ensuring emergency access to residences*

0/500
The information provided in this application is true and accurate and the contact on the application is authorized to submit the application.
I agree to the above statement

Yes
Should be Empty:

Emergency Access MCRF