Letter of Intent Instructions for NYC Providers Aug - nyc 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your agency name and address in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Fill in the CEO/Executive Director's name, along with the contact person's details including their title, telephone number, and email address.
  4. If applicable, provide the name of the program and its Operating Certificate number. This helps clarify your organization’s credentials.
  5. Specify the proposed project type and target population. This section guides reviewers on the focus of your application.
  6. In the narrative section, describe your proposed action clearly. Include location details such as zip code and community districts, along with a rationale for your proposal.
  7. Prepare your letter on agency letterhead, ensuring it includes a date and signature before submission.
  8. Submit your completed letter electronically to parreview@health.nyc.gov as per the mailing instructions provided.

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