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LIVESTOCK LOSS BOARD PO BOX 202005 HELENA, MONTANA 59620-2001
BOARD OFFICE: (406) 444-5609 WEBSITE: www.llb.mt.gov EMAIL: LIVLossBoard@mt.gov
LOSS PREVENTION GRANT APPLICATION
Review all grant requirements prior to completing this form.
| Applicant Name | Primary Contact (if different) | |||
| Mailing Address | Phone | |||
| City | State | Zip | ||
|---|---|---|---|---|
| Are you a corporation? ☐ Yes ☐ No Are you actively involved in ranching? ☐ Yes ☐ No If no, please describe your involvement with livestock producers for this project: | ||||
| PROJECT DESCRIPTION What is the primary focus of your project? Range Riding | Guard Dog Purchase/Support | Fladry/Visual Deterrents | ||
| Fencing | Carcass Composting | Tracking/Security Technology | ||
| Other: | ||||
PROJECT DETAILS
Project Start Date: ___ Project End Date: ___
PROJECT COST
Grant Amount: ___
Grant Match Amount: ___
(Total from cash & in-kind services, below. Must be at least 30% of the Total Project Amount)
Total Project Amount:
___
(Cost of the entire project: Grant Amount + Grant Match Amount)
GRANT MATCH INFORMATION
List cash and in-kind services in the boxes below (must be a minimum of 30% of the Total Project Amount). Cash Contribution:
Cash Source (list each name and amount individually for multiple cash sources) Amount
Amount
Total Cash Contributions:
In-Kind Services:
Labor type Description Hourly wage Total Hours Amount
Equipment Type Description Rental Rate Total Time Amount
Total In-Kind Services: Grant Match Amount: (Total Cash Contributions + Total In-Kind Services) $
PROJECT LOCATION
Project Location: (Enter legal description(s) of property on which project will take place. Attach maps as needed)
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LIVESTOCK INFORMATION
Please list the number and type of animals that will be protected by this project:
Species Number Description (breed, age, sex, commercial vs registered, etc.)
PREDATORS AND DEPREDATION HISTORY
Which predator species have killed your livestock in the last 5 years?
Wolves Grizzlies Mountain Lions Black Bears
List depredations that were investigated by USDA-Wildlife Services:
Year # Losses Livestock Type Predator Comments
Please describe any unconfirmed losses or other impacts on your livestock caused by large predators:
PREVENTATIVE PRACTICES
Please describe any preventative practices that you currently utilize to reduce livestock losses caused by large predators:
PREVIOUS GRANT AWARDS
If you have received a grant from the LLB in the past, what was the money used for?
Please list each year you were awarded a grant(s): ___
If this is a continuation of a previous grant, explain your success/failures from previous grant award(s):
APPLICANT SIGNATURE
Applicant-Grantee assumes sole responsibility for all claims, liabilities, demands, causes of action, judgments, and losses arising in favor of or asserted by Applicant-Grantee's employees and agents, its subcontractors, its subcontractor's employees and agents, or third parties on account of property damage, personal injury, bodily injury, death, or financial or other loss of any kind that in any way, directly or indirectly, in whole or in part, arise or allegedly arise out of or in connection with any loss prevention grant it is awarded.
The State of Montana, its elected and appointed officials, agents, and employees (including, but not limited to, the Montana Department of Livestock, Montana Board of Livestock, and the Livestock Loss Board and Program) assume no responsibility for any claims, liabilities, demands, causes of action, judgments, and losses arising in favor of or asserted by Applicant-Grantee's employees and agents, its subcontractors, its subcontractor's employees and agents, or third parties on account of property damage, personal injury, bodily injury, death, or financial or other loss of any kind that in any way, directly or indirectly, in whole or in part, arise or allegedly arise out of or in connection with any loss prevention grant it awards to Applicant-Grantee.
Applicant Signature: ___ Date: ___
SUBMISSION INFORMATION
2023
Applications are due November 4, 2026. Late applications may be considered if time allows. The Livestock Loss Board will meet on December 9, 2026, to award grants.
BEFORE SUBMITTING THIS APPLICATION, ENSURE YOU HAVE INCLUDED ALL MATERIALS:
- ApplicaƟon Form
- Maps (if used)
- W-9
- AddiƟonal supplemental documentaƟon (if used)
- Grant Supplement (if required) Total number of pages submitted with this application: ______ Submit your application and any supplemental documentation: Email: LIVLossBoard@mt.gov
- Grant Supplement (if required)
Total number of pages submitted with this application: ___
Submit your application and any supplemental documentation:
Email: LIVLossBoard@mt.gov ~ OR ~ Mail: Livestock Loss Board PO Box 202001 Helena, MT 59620-2001
Questions? Call Leslie Doely (406) 465-9319