LPHA Contracts

Quarterly Report Submission Tool


Use this form to submit quarterly reports.


Submit monthly invoices HERE.


Submit prior approval requests HERE.

 
 

Enter the contract # listed on your executed contract.

 
 

Enter the name of the person submitting the report.

 

Enter the email address of the person submitting the report.

 

Enter the phone number of the person submitting the report.

Phone
 

Select the quarter for which you are submitting a quarterly report.

 

Activity Overview

Describe in a few paragraphs your agency's activities during the reporting period that were supported by the ELC EDE contract in relation to each contract deliverable impacted. Use specific examples.


Each deliverable is focused on COVID-19 response.


If your agency did not perform any activity to support a specific deliverable, enter N/A in the corresponding field.

 

Case investigation

 
 

Public health surveillance which includes data reporting, analysis and visualization

 
 

COVID-19 Testing

 
 

Health education and information that promotes the reduction of community spread

 
 

Professional development or activities aimed at building infection prevention and control and outbreak response expertise

 
 

Maintaining and enhancing health information systems and activities to strengthen Communicable Disease response for future outbreaks


*Only enter in this field if deliverable 3.1.6 was added to your contract via an amendment.

 
 

Please attach any additional documents you feel are related to this quarterly report submission.

Drop your files here
 

All questions should be sent via email to ELC-COVID@health.mo.gov.