Mosaic Municipal TTA Contacts

Mosaic Municipal TTA Contacts

Mosaic Opioid Recovery Partnership

Municipal Training and Technical Assistance
Primary Contacts
Please provide three contacts from your municipality.
- Expenditure Contact (This is the person who is responsible for completing the Department of Public Health expenditure report.)
- Programmatic Contact (This is the person that fully understands your municipality's programs.)
- Public Information Contact (This is the person who handles public communications.)
If one person is the primary contact for multiple categories, please repeat their information in each section.

Please skip sections that you would not like to update.

If there are additional contacts from your municipality that should receive communications about Mosaic, please email munitta@rizema.org.
Municipality
Please select your municipality.*
Expenditure Contact
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Pronouns*
Title*
Department*
Programmatic Contact
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Pronouns*
Title*
Department*
Public Information Contact
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Pronouns*
Title*
Department*