HomeMy WebLinkAboutExhibit3Charlie Crist
Governor
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
MEMORANDUM
DATE: September 7, 2007
TO: Chairperson, Dade County
SUBJECT: 2007-2008 Emergency Medical Services County Grant Application
We are pleased to provide you with the Florida County Grant Program Application Packet (Manual),
Revised June 2002. The Manual contains the application form and the information needed to
request your fiscal year 2007-2008 county grant funds for the improvement and expansion of
Emergency Medical Services (EMS) within your county. The amount of your grant award will be
$356,021.00. Use this amount when developing your grant budget.
The county grant booklet is located at Internet address http://www.fl-ems.com/Grants/Grants.html.
Scroll down to the link titled "County Grant Booklet and Application Form".
Complete the application forms in the manual, (DH Form 1684 and DH Form 1767P, Rev. June
2002) pages 3-5. Please note, item 4 requires a current resolution be included in the completed
application. The resolution criteria are described in item 4 of the application form. Item 2 in the
application form and the "Request for Grant Fund Distribution" form both require original signatures.
Return a signed original and two copies of the completed application, which includes only DH Forms
1684, DH Form 1767P, and the resolution. Send the documents listed to the following address.
EMS County Grants Program
DOH Emergency Medical Services
4052 Bald Cypress Way, Bin C18
Tallahassee, Florida 32399-1738
The deadline by which we must receive the completed applications is no later than January 4, 2008,
5:00 PM, Eastern Standard Time. Completed applications will be processed in the sequence we
receive them. The deadline is absolute, and there will be no extension of the deadline for any
reason.
• Thank you for your cooperation and support to improve and expand access to quality EMS. Please
contact me at (850) 245-4440, extension 2737, or Alan Van Lewen at extension 2734, if you have
any questions.
aptitZtabfyi,
Edward L. Wilson
Program Administrator
Grants Unit
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cc/enc: Mr. Scott Mendelsberg
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SEP 1 1 200/
FIR4 RESCUE DEPARTMENT
CHIEF FINANCIAL OFFICER.
SCOTT W. MENDELSBERG
Bureau of Emergency Medical Services
4052 Bald Cypress Way, Bin C-18• Tallahassee, FL 32399-1738