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If small local health departments can’t apply, can regions apply? Or must state health apply?

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If small local health departments can’t apply, can regions apply? Or must state health apply?

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Local health departments (city, county etc.) that do not serve the cities listed in the eligibility requirement are not eligible to apply. States are eligible applicants. Applicants are encouraged to consult with their legal counsel to determine if they are eligible to apply as bona fide agents.

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