914 Ind. Admin. Code 1-2-1

Current through December 4, 2024

Section 914 IAC 1-2-1 - Application procedure

Authority: IC 10-17-13.5-5

Affected: IC 10-17-13.5-4

Sec. 1.

To apply for a grant for veterans' services, an organization must submit a written application on the form prescribed by the department. The application shall include the following:

(1) The name, address, and contact information, including email address, of the organization.

(2) The name, address, and contact information of the chief executive officer or the chief financial officer of the organization.

(3) A detailed explanation of the organization's mission and activities.

(4) A detailed description of all of the services provided to veterans by the organization and a detailed explanation of how those services align with the services described in IC 10-17-13.5-4(a).

(5) Audited financial statements of the organization for the last three (3) years or the life of the organization, whichever is less. If audited financial statements are not available, financial statements of the organization for the last three (3) years or the life of the organization, whichever is less.

(6) The organization's federal and state tax returns for the last three (3) years or the life of the organization, whichever is less.

(7) A detailed statement, describing the organization's need for a grant, a description of the services in section 4 of this rule that the organization will provide to veterans with the grant for veterans' services, and evidence that the organization is capable of addressing the need it intends to address with the grant if awarded a grant.

(8) A set of performance indicators that the organization will use to measure the effectiveness of the services it will provide using the grant and a detailed description of how those performance indicators will be measured, the data that will be used, and the benchmarks for success.

(9) A detailed work plan, including the scope of the services offered to veterans and the population of focus for such services.

(10) A detailed line-item budget proposal describing how any grant funds will be used.

(11) A letter from the Internal Revenue Service affirming the organization's tax exempt status under Section 501 of the Internal Revenue Code.

(12) The name, title, and signature of the chief executive officer or chief financial officer of the organization, attesting that all information submitted in the application is true and accurate.

914 IAC 1-2-1

Indiana Department of Veterans' Affairs; 914 IAC 1-2-1; filed 8/21/2019, 4:08 p.m.: 20190918-IR-914180475FRA

Filed 5/9/2022, 8:49 a.m.: 20220608-IR-914210423FRA