1. CITY OF HOBOKEN - NEW REQUEST SUMMARY BUDGET YEAR: 2010
DEPARTMENT:
Type of Request
Gain Loss Origin Cost Impact Yes/No
NURSE 84,500
Refer to new as GAIN and any old programs or functions being substituted as LOSS.
Example of ORIGIN are: request from residents, employees, Dept Sub Committee.
Note: This form must be printed, signed by your department head and sent to my office via email.
Department Head: Fiscal Monitor:

2. CITY OF HOBOKEN - PERSONNEL REQUEST BUDGET YEAR: 2010
DEPARTMENT:
HEALTH
Current Year Proposed
Number of Positions Budget Inc./ Dec. Inc. / Dec.
Positions Positions Budget* Requested Request* Positions Budget*
Full Time - Civil 9 10 10
Full Time - Uniform 0
Permanent Part Time 1 1 1
Seasonal 0
Retirees 0
Replacements 0
Totals 10 11 11
Position Titles (Detail Job Titles and number of each in your department)
Health Officer (1), Assistant Health Officer (1), Registered Environmental Health Specialist (2),
Clerk-Typist (1), Agency Aide (1.5), Registrar of Vital Statistics/Secretary to Board (1),
Deputy Registrar of Vital Statistics (1), Security Guard (1)
Justification:
Nurse at 25 hrs/week has been approved by Fiscal Monitor Judy Tripodi, and are in process of
hiring said employee. There will be no benefits associated with this position.
Purpose of employment shall be performing all duties connected with communicable disease
reporting and surveillance system, immunization audits, and assistance in clinic functions.
Instructions: * Finance office Attach documentation / additional sheets as necessary