Fax: (713) 439-6080-2026

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The document outlines the policy and procedures for appealing the outcome of a site visit report conducted by the Harris County Public Health Ryan White Grant Administration. It details the steps an agency must take to submit an appeal, including completing a Site Visit Appeal Process Form within five working days of the exit conference, and specifies that the RWGA Manager will make the final decision regarding the appeal.

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Click ‘Get Form’ to open the Site Visit Appeal Process Form in the editor.
Begin by entering your agency name in the designated field at the top of the form.
In the 'Reason for Appeal' section, clearly outline your reasons for disputing the findings. Be as detailed as possible to support your case.
Fill in the dates of the site visit in the provided fields, ensuring accuracy for a smooth review process.
List any findings you disagree with in the corresponding section, providing specific details to strengthen your appeal.
Complete the acceptable resolution section, as this is crucial for proceeding with your appeal.
Sign and date the form at the bottom before submitting it electronically or by mail to ensure it is processed promptly.

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Versions	Form popularity	Fillable & printable
2017	4.2 Satisfied (37 Votes)
2014	4 Satisfied (40 Votes)

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The Gulf Coast region includes one metropolitan statistical area (MSA), the Houston-The Woodlands-Sugarland MSA, which includes the counties of Austin, Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, Montgomery and Waller.

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Fax: (713) 439-6080-2026

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