CMHPC DOCUMENTS AND FORMS

COALITION MEMBERSHIP DOCUMENTATION 

Coalition Bylaws and Memorandum of Understanding are located in the Coalition Regional Plans – Preparedness Plans tab.  Appendix 5.2 and 5.2.1 has the information.  The Coalition requires members to sign the acknowledgement of membership/bylaws form – which is also in the Preparedness Plan – Appendix 5.2.2 for Healthcare or 5.2.3 for Partner agencies.

EMERGENCY RESPONSE FORMS

Appendix 3.5.5.1 CMHPC Regional Resource Request Form- May 2022

REIMBURSEMENT FORMS

W9 template (or facilities own W9 document) (this document is required if a facility is to receive any funding from the coalition)

FACILITY IN KIND REPORT – TRACKING TOOL