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MEMORANDUM Date:February 13, 2023To:Local Health Department ApplicantsFrom:Kara Tarter, MPH CIC Interim Chief, Bureau of Infectious DiseasesSubject:Get Vaccinated Ohio Public Health Initiative (GV24)
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How to fill out local health department applicants

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Step 1: Obtain the application form from your local health department
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Step 2: Read the instructions carefully and gather all the necessary documents
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Step 3: Fill out the personal information section, including your full name, address, contact details, and social security number
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Step 4: Provide information about your educational background and any relevant certifications or licenses
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Step 5: Complete the employment history section, including details of your previous job positions and responsibilities
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Step 6: Answer any additional questions or provide any required statements or declarations
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Step 7: Review your application for any errors or missing information
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Step 8: Sign and date the application
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Step 9: Submit the completed application along with the required documents to the local health department
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Step 10: Follow up with the department to ensure your application is processed

Who needs local health department applicants?

01
Healthcare facilities
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Healthcare organizations
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Government agencies
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Research institutions
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Non-profit organizations
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Public health departments
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Local health department applicants refer to the documents or forms that individuals or organizations need to submit to apply for services or permits from local health departments.
Individuals or organizations seeking health permits, licenses, or services from local health departments are required to file local health department applicants.
Local health department applicants should be filled out by providing accurate and complete information as prompted in the forms, ensuring all sections are addressed before submission.
The purpose of local health department applicants is to ensure that the health department has the necessary information to process requests for permits, licenses, or services.
Applicants must typically report their personal or organizational information, intended services or permits being requested, and any relevant health-related data.
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