A municipality may apply to the State Treasurer for a grant under the Municipal Natural Gas System Emergency Assistance Act to cover up to eighty percent of the extraordinary costs incurred by such municipality as a result of an extreme weather event. Applications shall be submitted on a form prescribed by the State Treasurer. Each application shall include the amount of grant funds requested, the date or dates of the extreme weather event, and documentation of the extraordinary costs incurred as a result of such extreme weather event. The State Treasurer shall consider applications in the order in which they are received and may approve applications within the limits of available appropriations. The State Treasurer shall not be required to verify the information provided in the application.