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CITY OF HOBOKEN - NEW REQUEST SUMMARY                                                              BUDGET YEAR: 2010

DEPARTMENT:                  Health

                   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:
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 - Civi                          9                                 1                            1
Full Time - Uniform                       0
Permanent Part Time                       1
Seasonal                                  0
Retirees                                  0
Replacements                              0
Totals                                  10                                  1                           1

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)




   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

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Hs Health New Request Personnel

  • 1. CITY OF HOBOKEN - NEW REQUEST SUMMARY BUDGET YEAR: 2010 DEPARTMENT: Health 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 - Civi 9 1 1 Full Time - Uniform 0 Permanent Part Time 1 Seasonal 0 Retirees 0 Replacements 0 Totals 10 1 1 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) 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