"Risk Management Division Special Equipment Fund" - Nevada

Risk Management Division Special Equipment Fund is a legal document that was released by the Nevada Department of Administration - a government authority operating within Nevada.

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Risk Management Division Special Equipment Fund
Agency:
Location:
Name of Requester:
Date Requested:
Telephone:
Budget Account:
Equipment Requested (be specific and include potential vendor and price):
Reason for Request:
Attach supporting documentation from physician, Health and Safety Professional
Budget Analyst Statement:
Budget Analyst Signature:
Date:
Agency Head Signature:
Date:
Return to Risk Management Division
201 S Roop St. Ste 201
Carson City Nevada 89703
ATTN: Ana M. Andrews - Phone (775) 687-3191, Fax (775) 687-3195
Risk Management Division Special Equipment Fund
Agency:
Location:
Name of Requester:
Date Requested:
Telephone:
Budget Account:
Equipment Requested (be specific and include potential vendor and price):
Reason for Request:
Attach supporting documentation from physician, Health and Safety Professional
Budget Analyst Statement:
Budget Analyst Signature:
Date:
Agency Head Signature:
Date:
Return to Risk Management Division
201 S Roop St. Ste 201
Carson City Nevada 89703
ATTN: Ana M. Andrews - Phone (775) 687-3191, Fax (775) 687-3195