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15 <br />Discipline Points of Contact Form <br />To assist the State in preparing reports to DHS on the allocation of equipment, training, exercise, <br />and planning funds, please identify the Point-of-Contact for each discipline to ensure that all first <br />responder disciplines have been provided an opportunity to participate. <br />Signatures are not required. <br />Law Enforcement (LE) <br /> (name of contact person) (phone number) <br /> <br /> <br />-------------- (agency / organization) <br />-------------------- <br />------------ <br />Emergency Medical <br />Services (EMS) (name of contact person) (phone number) <br /> <br /> <br />-------------- (agency / organization) <br />-------------------- <br />------------ <br />Emergency Medical <br />Agencies (EMA) (name of contact person) (phone number) <br /> <br /> <br />-------------- (agency / organization) <br />-------------------- <br />------------ <br />Fire Services (FS) <br /> (name of contact person) (phone number) <br /> <br /> <br />-------------- (agency / organization) <br />-------------------- <br />------------ <br />DHS FY2003 SHSGP Part 11 Annex B: Subgrant Fomrs 6 of 7