ARPA Fund Request

ARPA (American Rescue Plan Act) Fund Request

On March 11, 2021, the American Rescue Plan Act (ARPA) was signed into law, establishing the Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Funds. Combined, these make up the Coronavirus State and Local Fiscal Recovery Funds “SLFRF,” oftentimes referred to in short as the “ARPA” funds. This program is intended to provide support to State, territorial, local and Tribal governments in responding to the economic and public health impacts of COVID-19 and in their efforts to contain impacts on their communities, residents, and businesses.

Blaine County expects to receive nearly $4.5 million in SLFRF funding dispersed between 2021 and 2022, which must be spent by 2026. In an effort to process ARPA – SLFRF funding requests, the Blaine County Board of County Commissioners have created this process for parties to submit their requests for funding from Blaine County.

How to Apply

Please submit your ARPA – SLFRF Funding Request by completing the below form, indicating which eligible category best describes your project. You must attach a clear project description (500 words or less) and draft project budget (1 page max).

Your request will be reviewed initially by the County Administrator and County Clerk, who may request additional information. If the project is deemed eligible, the project will be presented to the Board of County Commissioners during a regular meeting. At that time, the Board may direct staff to prepare a contract with the applicant. Any contract will be scheduled for a vote during a subsequent regular meeting.

Please Note: Your submission of this form does not guarantee funding approval. Funding is approved only by an affirmative vote of the Blaine County Board of Commissioners during a regular public meeting. Please review carefully the guidance provided by the US Department of Treasury and other official sources (found in Helpful Links) in order to determine project eligibility. Blaine County staff are unable to provide assistance in developing project proposals.

ARPA – SLFRF Funding Request Form

ARPA – SLFRF Funding Request Form
To be completed by requesting party:
Requesting Party Name
Contact Info (Email & Phone)
Date Submitted to Board
Date Submitted to Board
Funding Amount Requested
Check which category of ARPA funding your project meets:
Category Number One
1. Check Box
Responds to the COVID-19 public health emergency or its negative economic impacts (including, but not limited to: disease mitigation efforts; behavioral and other healthcare services; economic assistance or other equity-focused services to hardest-hit communities or households, such as affordable or supportive housing, and; support for impacted industries).
Category Number Two
1. Check Box
Supports essential workers during the COVID-19 public health emergency by providing premium pay to workers via grants to eligible employers in certain key sectors, such as, but not limited to: healthcare, grocery and food services, education, childcare, sanitation, and transit (must be fully additive to worker’s wages).
Category Number Three
1. Check Box
For the provision of government services, to the extent of the reduction in revenue due to the COVID-19 public health emergency, relative to revenues collected in the most recent full fiscal year of the recipient prior to the emergency.
Category Number Four
1. Check Box
Improves water & sewer or broadband infrastructure (including investments intended to facilitate the creation of affordable and workforce housing).
Please upload your supporting documents
Project Description: one page max*
Provide a comprehensive description of the proposed project to include a clear justification for how it meets the ARPA funding criteria.
Draft project budget: one page max*
Additional Supporting Documentation:
(e.g., maps, drawings, letters of support)
References for additional information:
U.S. Department of the Treasury – Coronavirus State and Local Fiscal Recovery Funds
The U.S. Department of Treasury website is a valuable resource for questions regarding eligible uses of these funds.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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