Trauma Sub-grant Submission for EMS - FY2014
EMS Service Provider
To ensure Arkansas Department of Health Trauma Section has ALL of your sub-grant information you must complete this entire survey.
Required Information for Sub-grant Application:
- AASIS Vendor Information
- Physical (FedEx) Address
- Contact Personnel Information
- Geographic Coverage Area
- Beginning/Ending Month of the Fiscal Year
- Illegal Immigrant Form (Faxed to 501-280-4729)
- Completed Budget
This survey will guide you through the process of submitting all information required to complete the FY 2014 Trauma EMS Sub-grant.
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When you reach the end of the survey, please click the SUBMIT button to complete the survey.
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