Maricopa County Emergency Staffing Request

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We understand this is an emergency request and we will respond to your inquiry as soon as it is processed. Thank you for your patience and understanding.

Please feel free to contact the Staffing Team at (602) 359-1495 or at COVIDStaffing@Maricopa.gov if you have any questions or concerns.

Facility Name *

Facility Address *

Type of Facility *

Point of Contact (POC) Name *

POC Phone Number *

POC Email Address *

Brief Description of Situation/Surge Request Need *

Please include number of personnel requested and required specialty (if applicable)

Are these requested staffing positions paid or unpaid/volunteer positions? *

Paid

Unpaid/Volunteer

Other:

Local Resource Confirmation *

Checking this box certifies that local resources are expended or inadequate for the current situation.

Required

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