PC Forms and Documents

Newark EMA HIV Health Services Planning Council 

NEMA BYLAWS  (Rev. October 2020)

NEMA Planning Council Structure (June 2021)

Operating Policies and Procedures (OPPs)

The Planning Council and its subcommittees are governed by the following OPPs:

NEMA HIV Health Services Planning Council OPPs

Continuum of Care Committee OPPs

Comprehensive Planning Committee OPPs

Research and Evaluation Committee OPPs

Conflict of Interest and Disclosure Statement

Members of the Planning Council and the Comprehensive Planning Committee are required to complete a Conflict of Interest Form annually to disclose any working, volunteering, board member assignment, or professional relationship with any Part A agency. This disclosure is an important consideration for parity in the priority setting and resource allocation process.

Fill out an online form, OR download the PDF form here: 2020 NEMA Conflict of Interest Policy and Disclosure Statement Fillable.pdf

Confidentiality Agreement

The Health Resource and Services Administration (HRSA) requires all Newark EMA HIV Health Services Planning Council members to complete a Confidentiality Agreement at least once a year. 

Fill out the Confidentiality Agreement online form, Or download the Fillable PDF form here: Newark EMA PC Confidentiality Agreement Fillable.pdf

Grievance Procedures

Community members wishing to submit a complaint regarding deviations from an established, written priority setting or resource allocation process (e.g., failure to follow established conflict of interest procedures), OR deviations from an established, written process for any subsequent changes to priorities or allocations, can do so in writing by completing this form: Ryan White Part A Grievance Form

Here are the Grievance Procedures that will govern the handling of this grievance for review and consideration.

Completed forms can be returned to the Office of PC Support via 

EMAIL:     Tania.Guaman@uwguc.org

FAX:          908.353.6310


                  United Way of Greater Union County

                  33 West Grand Street, Elizabeth, NJ, USA

Last Updated on 06/02/2021