HAN Corrective Action Plan

HAN Corrective Action Plan

Due Any Quarter
Instructions

Please complete this form if your jurisdiction missed the 24-hour acknowledgement period for a Health Alert Network Alert, Advisory, or Update. The form should be completed within 5 business days of the HAN's issuance.
Jurisdiction
Please Select
Name

First NameLast Name
Phone

Area CodePhone Number
Email Address
example@example.com
For which HAN notification are you completing this form?
Example: 2026-07: Ebola Disease Update for Montana
Do you have three unique, up-to-date HAN contacts listed in the Public Health Directory?
Please explain any circumstances impacting the missed HAN acknowledgment:
What changes, if any, will you implement to support HAN acknowledgments moving forward?
Acknowledgement of every HAN Alert, Advisory, and Update within 24 hours is a PHEP deliverable requirement. PHEP will allow up to two missed HAN acknowledgements per fiscal year (July 1–June 30) without penalty. However, three or more missed HAN acknowledgements may affect payment for deliverables. Please confirm your understanding of this policy.
Should be Empty: