NASCOE
Program Efficiency Submission Form

STATE:
COUNTY:
DATE:
ISSUE(i.e. program efficiency/area of concern and procedure reference if applicable):
FACTS (i.e. circumstances of the concern):
SOLUTION (i.e. your suggestion for correcting the inefficiency):
SUBMITTED BY:
ADDRESS:
TELEPHONE:
EMAIL:
NOTE: Form is submitted directly to Bill Putnam, NASCOE Programs Chairperson

Items of concern may be submitted at anytime. Timing could be critical to program efficiency. It is not necessary to wait for negotiation/consultation time.
These items will be acted on upon receipt.