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I3 <br />This checklist is provided to assure that the EMS Toolkit Grant Application is complete. Please <br />place a check beside the items which have been completed. When all items have been checked <br />and submitted to OEMS, the application is complete. <br />An electronically (email) submitted EMS Toolkit Grant Application <br />An appropriately endorsed original signature page <br />A Letter of Support from the administrator of the EMS System's 911 Center if~the application is for <br />Emergency Medical Dispatch implementation or enhancement (Projects 1 or 2) <br />~~ A copy of all of the existing EMS System Policies addressed in the EMS Toolkit Grant Application <br />All information for the EMS System in the OEMS Credentialing Information System (CIS) has been <br />~~ updated for all EMS Agencies., Vehicles, and Personnel <br />Signatures: <br />EMS .System Director <br />Date: <br />EMS System Medical Director <br />Date: <br />ounty .Manager <br />Date: <br />You are strongly encouraged to contact the EMS Performance Improvement Center (EMSPIC) at <br />(866) 773-6477 before final submission of your application. <br />When you are ready to submit your final application to OEMS, save it and attach it to an email message <br />to McKenzie Cook (McKenzie.Cook@ncmail.net). <br />Page 15 of 15 <br />