01 M.R.S. § 001-408-6 - REQUIRED DOCUMENTATION

Applicants for financial support from the PFAS Fund for mental health care must provide the following documentation, as applicable:

1. A completed DACF application, as may be updated from time to time.

2. Documentation of validated groundwater and/or soil test results exceeding an applicable threshold identified in Section 5. The results of groundwater or soil samples collected and validated by DACF or DEP are sufficient to document PFAS contamination of soil and/or groundwater. Likewise, a letter from DEP or Maine CDC notifying the applicant that groundwater and/or soil test results exceed screening thresholds is acceptable documentation; and

3. Documentation from Maine DEP indicating that the land application of residuals has been reasonably determined to be the primary source of PFAS contamination of an impacted property; and

4. Proof of residency at an impacted property, such as a deed, lease, or utility bill in the applicant's name or evidence of employment by an impacted commercial farm, such as a W-2 form, signed federal tax return, or paystub; and

5. Statement or invoice from the applicant's insurance company documenting the portion of the cost not covered by the applicant's insurance policy or a written statement from the applicant indicating that they have no health insurance. In the latter instance, the applicant shall also provide a copy of the invoice for the service(s) provided.

Notes

01 M.R.S. § 001-408-6