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Instructions: County Government Application Form 2022-2023 <br />The first application page has five numbered items. <br />Please note that Item 2 on the first application page is where the county's authorized person must provide his/her <br />signature and the date <br />Item 4 describes the content of the current "resolution" that is required. However, if a previous resolution has <br />continuing authority, include a signed message about this and provide a copy of the previous resolution. <br />Item 5 of the first page of the application form asks for the name of the organization(s) to which you decide to <br />allocate funds from your new county grant. The second page of the application form is the budget page, and one of <br />these budget pages is needed for each organization listed in item 5. <br />The county alone has the authority to use all the grant funds itself or to provide some of the funds to other <br />organizations within the county. However, the county remains responsible to the state for all the funds. <br />The budget costs must total to the exact amount of new funds for your grant. You can request budget changes and <br />to add to the new grant budget unexpended previous funds from the prior grant, after the new grant begins. <br />The Request for Grant Fund Distribution Form is the last page herein and you must complete only the top part of the <br />form. State EMS will complete the bottom part, as stated on the form. <br />You should copy all forms on your computer to use them. If you place them in restricted editing mode, you can use <br />your keyboard Tab key to go from field to field. <br />