OPM Helpdesk Mailbox Submissions

OPM Helpdesk Mailbox Submissions

Your Name*

Your Email*

Your contact phone #*

May be required for follow-up or issue clarification

Phone

Are you a New Applicant/Grantee or IDPH Employee?*

Select one from the dropdown list.

Select

Grantee(s) Agency Name*

Please enter name of agency awarded the grant

Do you know which IDPH office manages the grant?*

Select

Which Office Manages the grant?*

Select

Center For Minority Health Grant Program*

Please select Grant Program

Select

Disease Control Grant Program*

Please select Grant Program

Select

Health Protection Grant Program*

Please select Grant Program

Select

Health Promotion Grant Program*

Please select Grant Program

Select

Healthcare Regulation Grant Program*

Please select Grant Program

Select

Policy Planning and Statistics Grant Program*

Please select Grant Program

Select

Preparedness and Response Grant Program*

Please select Grant Program

Select

Women's Health Grant Program*

Please select Grant Program

Select

Other Grant Program Name*

Please enter the full grant name as it appears in EGrAMS or on the Notice of Funding Opportunity (NOFO) OR type Not Applicable

Fiscal year of grant ?*

Please select the year the grant started

Select

Which category does your issue pertain to?*

Please select type of issue

Select

If Other, describe the issue you are experiencing.*

Type of User Access issue experiencing?*

Please select the general category of your issue.

Select or enter value

EGrAMS User Name*

Type of Pre-Qualification issue experiencing?*

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Type of Pre-Award issue experiencing?*

Select

Type of Award issue experiencing?*

Select

Type of Amendment/LIT experiencing?*

Select

Type of Post-Award issue experiencing?*

Select

If reimbursement certification, has it been paid?

Select

Type of Audit issue experiencing?*

Select

Comments*

Please provide a brief description of the issue.

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