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16 <br />Discipline Points of Contact (continued) <br />Signatures are not required. <br />Hazardous Materials (HZ) <br />(signature of the local emergency management coordinator) <br />(date) <br />DHS FY2003 SHSGP Part II Annex B: Subgrant Forms 7 of 7 <br />(name of contact person) <br />(phone number) <br />---------------------------------------------- <br />(agency / organization) <br />Public Works (PW) <br />(name of contact person) <br />(phone number) <br />---------------------------------------------- <br />(agency / organization) <br />Public Safety <br />Communications (PSC) <br />(name of contact person) <br />(phone number) <br />---------------------------------------------- <br />(agency / organization) <br />Health Care (HC) <br />(name of contact person) <br />(phone number) <br />---------------------------------------------- <br />(agency / organization) <br />Public Health (PH) <br />(name of contact person) <br />(phone number) <br />---------------------------------------------- <br />(agency / organization) <br />I verified the above data is correct. Please SIGN below. <br />(signature of the local emergency management coordinator) <br />(date) <br />DHS FY2003 SHSGP Part II Annex B: Subgrant Forms 7 of 7 <br />