[ENTER NAME OF HEALTH DEPARTMENT] CLOSED POINT OF DISPENSING

[ENTER DATE] [ENTER NAME OF PARENT] [ENTER STREET ADDRESS]
CAREER PLANNING DAY [ENTER THE DATE] MY GOALS 3
CP&P 14176 (REV 62012) [ENTER DATE] RE [ENTER CHILDS

CP&P 558 (REV 102021) [ENTER DATE] [ENTER NAME] [ENTER
CP&P 572 (REV 112016) [ENTER DATE] [ENTER NAME OF
DCF 983B(S) (REV 32017) [ENTER CURRENT DATE] AVISO DE

Closed POD - Memorandum of Understanding

[Enter Name of Health Department]

CLOSED Point of Dispensing (POD) Commitment Letter

This Closed POD Commitment is between (Closed POD Organization) and the [Enter Name of Health Department].

The Centers for Disease Control and Prevention (CDC) has established the Cities Readiness Initiative (CRI) program to assist specific metropolitan areas in the event of a catastrophic biological incident. The CDC, through the [Enter State] Department of Community Health, will provide the Strategic National Stockpile (SNS), which includes medications and medical supplies, to [Enter Name of Health Department] for the residents of [County, State]. The Closed POD Organization’s participation is completely voluntary and may not be utilized during all emergencies.

By signing this commitment letter, the parties involved agree to the following:

Closed POD Organization:

Will develop a Closed POD plan within 30 days of signing this commitment. The plan provides a structure for dispensing medications to Closed POD Organization’s employees, identified household family members, and residents/patients as approved by [Enter Name of Health Department].

[Enter Name of Health Department]:

Will allocate pre-determined quantity of medication and medical supplies to be picked up by the Closed POD Organization.

Will provide Closed POD Organization with pre-event planning and technical assistance, including, but not limited to, activation checklists, fact sheets, medication screening forms, and medication information sheets.
Will provide Closed POD specific training/education opportunities to identified staff of Closed POD Organization as requested.

Signatures

[Enter Name of Health Department] Health Officer Date

Closed POD Organization Representative Date

DEAR [ENTER NAME OF MP] I AM WRITING TO
DRINKING WATER WARNING [ENTER WATER SYSTEM NAME] [(ENTER WSID
FHWA DIVISION ADMINISTRATOR PAGE 2 [ENTER TODAYS DATE] FLORIDA

Tags: closed point, date closed, dispensing, closed, [enter, department], health, point