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STATE AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br />^ . <br />FISCAL YEAR 2020/2021 U .. <br />A. Program Cover Page <br />b <br />Agency: Floridaa Department <br />of Health - Indian River Telephone: 772-794-7450 <br />Contact Person: Miranda C Hawker, M.P.H. <br />Fax: 772-794-7453 <br />Title: Health Officer <br />E -Mail: Miranda.Hawker@flhealth.gov <br />Address: 1900 27th Street, Vero Beach <br />Florida, 32960 <br />Website Address: myirchd.org <br />Program Title: Indian River County Health Department <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />miranda.hawker@flhealth.gov oN <br />Signature 08W 2°2°.W.2411:10:4344.O°'9 <br />Miranda C. Hawker, Health Officer <br />Print name and title <br />Fth"eFlodda <br />i tion of the Pro ram for which fundingis requested: <br />f funding to maintain the activities of the cooperatively established Indian River County Health Department as directed <br />Statute 154 providing: (a) Disease prevention and control services; (b) Environmental health services; and (c) Primary <br />Specifically, the health department is requesting funds from the county for disease prevention and control (including <br />reparedness), and environmental health services. County revenue is being used for essential public health services. <br />Much of 2019 we were involved in responding to the U.S.(including Florida) Hepatitis A outbreak with vaccination and community <br />education. We have shifted many personnel to the COVID-19 response. <br />2-jummary Report <br />Amount requested from 'Indian River County for 2020/2021: <br />$ 738,670 <br />Total Proposed Program budget for 2020/2021: <br />$ 5,587,110 <br />Percent of total Program budget: 13.22 <br />Current Funding (2019/2020) <br />$ 717,155 <br />Dollar increase / (decrease) in request: <br />$ 21,515 <br />Percent increase / decrease in request: 3 <br />If request increased 5% or more, brieflv exnlain whv <br />The Organization's Board of Directors has approved this application on (date): <br />• Name -11 1 walu =1 luCIlair of the Board <br />Name of Exec. Director/CEO <br />ignature <br />Signature <br />25 <br />