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31 <br />Beverly Eaves Perdue, Governor <br />Lanier NL Cansler, Secretary <br />TO: Local Health Directors and Nursing Directors <br />FROM: Joy F. Reed, EdD, RN, F <br />Head, Local Technical Assist e & Training Branch <br />Public Health Nursing & Professional Development Unit <br />DATE: February 15, 2011 <br />SUBJECT: Public Health Nurse Training Funds <br />Jeffrey P. Engel, MD. <br />State Health Director <br />The protocol for reimbursement under the Public Health Nurse Training Funds is an integral component in the 2011- <br />2012 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 />S. 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 iuition/registration paid). <br />All reimbursements are based on availability offunds. <br />Please submit the completed foam 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 Caroliro Public Heahh ,`:~~~~ <br />Working for a heahhier and safer North C~roGm li= <br />Everywhere Everyday. Everybody. <br />Location: 5605 Six Forks Rd. • Raleigh, NC 27609-3811 <br />An Equa! Opportunity Employer <br />.~v <br />.y° r +• <br />~• <br />~~aw,d~ <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 27699-1916 <br />Tel 919-707-5130 • Fax 919-870-4833 <br />