LIVESTOCK LOSS BOARD PO BOX 202005 HELENA, MONTANA 59620-2001
STATE OF MONTANA GREG GIANFORTE, GOVERNOR
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 NamePrimary Contact (if different)
Mailing AddressPhone
CityStateZipEmail
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 RidingGuard Dog Purchase/SupportFladry/Visual Deterrents
FencingCarcass CompostingTracking/Security Technology
Other:
Applicant Name
Mailing Address
State
City
Zip
Email
Are you a corporaŸon
Are you a corporaŸon
Are you acŸvely involved in ranching
Are you acŸvely involved in ranching
If no, please describe your involvement with livestock producers for this project
○Guard Dog Purchase/Support
○Fladry/Visual Deterrents
○Range Riding
○Carcass ComposƟng
○Fencing
○Tracking/Security Technology
○Other: _______________________________________________________________________________
○Other: _______________________________________________________________________________
PROJECT DETAILS
Project Start Date: ___ Project End Date: ___
Project End Date
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Please describe your project in detail. Attach additional sheets/documentation as needed:
Please describe your project in detail. Attach additional sheets/documentation as needed