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I designate the following person: <br />Name: <br />Title: <br />Address: <br />City & Zip: <br />Telephone: <br />Fax: <br />Email: <br />Designation of a Point of Contact Form <br />to be the point of contact for all day-to-day communications for this grant program. The Point of <br />Contact will handle all routine communications with NCLM regarding the status of the grant <br />program, <br />County Manager's Signature Date <br />NCEM recommends that the County Emergency Manager or other staff person be <br />identified as the Point of Contact. <br />DHS FY2004 SHSGP nnnex B: Subgrant Forms 3 of 7 <br />