Award Grantees

Documents for Award Grantees

Congratulations, and thank you for partnering with us to promote and protect public health in Allen County.

Here, you'll find important documents needed for that partnership.

Questions? Email us at DOHGrants@allencounty.us
EFT Enrollment Form

The form can be uploaded as instructed.
Media and Likeness Consent Form

Please complete and return the form to the Allen County Department of Health
Invoice for Contractors and Grantees
Health First Allen County Grant Program Budget Template (PDF)
Health First Allen County Grant Program Budget Template (Word Document)