Government Code § 12019.45

(a)The advisor and panel, with administrative support from the commission and in consultation with federally recognized tribes in California, shall develop concise application forms for one or more eligible tribes to apply for a grant.

(b)The application form developed

for specific distribution grants shall include, but not be limited to, all of the following:

(1)An identification of every eligible tribe applying for the grant and the name, signature, and contact information of every individual who is authorized by each eligible tribe’s governing body to apply for the grant.

(2)A description of the purpose or project for which the grant is intended to be used.

(3)An assessment of the nature and extent of the potential benefits from the described purpose or project to each applying eligible tribe.

(4)The safeguards in place to ensure that the grant would be applied only to the described purpose or

project.

(5)The amount and source of other moneys or in-kind services or goods, if any, that are available to be additionally applied to the described purpose or project and when those moneys or in-kind services or goods are intended to be applied.

(6)A list of every grant awarded or other distribution from the fund previously awarded or distributed to each eligible tribe applying for the grant and the results achieved as a result of those prior awards or distributions.

(7)A strategy for how the benefits from the described purpose or project will be sustainably maintained.

(8)A signed acceptance of the terms described in Section 12019.75 from an authorized

representative of every eligible tribe applying in the application.

(9)Identification of the information provided in the application that each eligible tribe proposes is confidential and not subject to public disclosure pursuant to subdivision (a) of Section 12019.55, and a statement, in bold, that the panel may consider, but is not required to comply with, an eligible tribe’s identification of information as confidential when responding to a request for public records pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1).

(10)Any other information the advisor

and panel deem valuable to evaluating the merits of awarding a grant.

(c)The application form developed for equal shares grants shall include both of the following:

(1)Information necessary to establish that the applicant is an eligible tribe.

(2)A certification from the eligible tribe that the funds shall be used for self-governance, developing or sustaining a self-determined community, or economic development, and shall not be used for purposes prohibited by subdivision (e) of Section 12019.40.