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30 <br />North Carolina Department of Health and Human Services. <br />Division of Public Health ® Public Health Nursing & Professional Development <br />1916 Mail Service Center ® Raleigh, North Carolina 276994916 <br />Tel 919 - 707 -5130. o Fax 919- 8704833 <br />Beverly Eaves Perdue, Governor Jeffrey P. Engel, MD. <br />Lanier M Cansler, Secretary State Heahh Director <br />TO: Local Health Directors and Nursing Directors <br />FROM: Joy F. Reed, EdD, RN <br />Head, Public Health N g & Professional Development Unit <br />DATE: February 12, 2010 <br />SUBJECT: Public Health Nurse Training Funds <br />The protocol for reimbursement under the Public Health. Nurse Training Funds is an integral component in the 2010- <br />2011 Consolidated Agreement with each local health department (see B -12 Funding Stipulations in the Consolidated <br />Agreement). In order to be reimbursed from the training funds, the attached form (DHHS 3300) will need to be <br />completed for individuals for whom the agency is requesting reimbursement. <br />1.. County name <br />2. Name(s) of Participant(s) <br />3. Title of Course attended <br />4. Dates of attendance (month and year) <br />5. Amount requested <br />6. Health Director's signature and date <br />7. Name and telephone number of person preparing the form DHHS 3300 <br />You may request reimbursement upon notification of successful completion of the introduction to. Principles and <br />Practices of Public Health and Public Health Nursing course (reimbursement is $400), the Management and <br />Supervision for Public Health Nurse Supervisors and Directors course (reimbursement is $600), or a management <br />training/institute course approved as outlined in item B -12c of the Funding Stipulations in the Consolidated <br />Agreement (maximum reimbursement of tuition/registration paid' ). <br />All reimbursements are based on availability of funds. <br />Please submit the completed form directly to Public Health Nursing and Professional Development Unit, 1916 Mail <br />Service Center, Raleigh, NC 27699 -1916. <br />Attachment: Form DHHS 3300 <br />North Carolina Public Health <br />Working for a heakNer and safer North Carolina . <br />lik. Everywhere. Everyday. Lverybody. <br />Location: 5605 Six Forks Rd. Raleigh, NC 27609 -3811- <br />An Equal Opportunity Employer <br />