2025-758-E-Health Dept-UNC-CH-Services and support programs that serve persons with Opioid Use Disorder

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Overall Program Budget Agency Proposed Program Title Total Program Revenue Budget 2025 2026 2027 Project Period Total Revenues: Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Orange County Opioid Settlement Funding $ - $ - $ - $ -$ -$ - $ - $ - $ -$ - $ - $ - $ -$ - $ - $ - $ -$ - $ - $ - $ -$ - $ - $ - $ -$ - Total Revenues: $ - $ - $ - $ - $ -$ - $ - $ -$ -$ - Total Program Expense Budget 2025 2026 2027 Project Period Total Expenses: Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Personnel and Benefits: 22,360.00 - 22,360.00 - - -- --22,360.00 Operations Expenses: 15,240.00 - 15,240.00 - - -- --15,240.00 Subcontractor Services: Subcontractor 1 name - - -- - -- --- Subcontractor 2 name - - -- - -- --- Subcontractor 3 name - - -- - -- --- Capital - - - - --- Administrative/Indirect cost (no more than 10%) - - -- - -- --- Total Expenses: 37,600.00 - 37,600.00 - ----37,600.00 University of North Carolina at Chapel Hill Student Health Action Coalition Syringe Service Program Complete this form for all revenue sources, as well as expense sources other than Opioid Settlement funds. Figures for expenses using Opioid Settlement funds will automatically populate from detail tabs of spreadsheet, except for the administrative/indirect cost line item, which should be filled out in this tab. Add rows as needed. Enter information in yellow shaded cells only. Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E