Municipal Climate Recovery Fund

Municipal Climate Recovery Fund

Application due Wednesday, January 10, 2024
Application Preparation List (Submissions to Follow)

3 Years Financial StatementsFEMA Project Worksheets in One PDF FileNon-FEMA Cost DocumentationPreliminary Legal Opinion
Name of Applicant (Governmental Unit)*
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
Select PACIF municipality if eligible for VLCT PACIF interest subsidy:

Disaster Impact Ratio*

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

Disaster Impact Ratio*

	General Fund	Water Fund	Sewer Fund	Electric Fund
Total Documented Losses
Expected Insurance Payouts
Estimated Own Source Revenue Loss
FY 23 Budget

Please Provide Brief Narrative Describing Need and Use of Loan*

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: