PREVIOUS GRANT AWARDS
If you have received a grant from the LLB in the past, what was the money used for?
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): ___
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):
If this is a conŸnuaŸon 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: ___
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
○ ApplicaƟon Form
Maps (if used)
○ Maps (if used)
W-9
○ W-9
AddiƟonal supplemental documentaƟon (if used)
○ 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
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