PUBLIC RESPONSE FORM CONSOLIDATED BLOCK GRANT FISCAL YEAR 2016 The Department of Human Services invites your comments on the proposed Consolidated Block Grant Award under the Consolidated Block Grant for Fiscal Year 2016. A copy of the proposed expenditures for the Fiscal Year 2016 Consolidated Grant Proposal is listed in the application. Please offer your comments on the sheet provided and Hand-Deliver, Mail or Fax them to: Mrs. Vivian I. Ebbesen- Fludd, BSN, MS Mrs. Vivian I. Ebbesen- Fludd, BSN, MS Commissioner Designee Commissioner Designee Department of Human Services Department of Human Services Office of the Commissioner Office of the Commissioner Knud Hansen Complex 3011 Golden Rock 1303 Hospital Ground, Suite A Christiansted, VI 00820 St. Thomas, VI 00802-6722 Fax: (340) 718-4044 Fax: (340) 774-3466 If additional space is needed for your comments, kindly attach additional sheet(s) to the original Response Form as needed. 1. Comments on Consolidation: 2. Comments on Proposed Expenditures for Fiscal Year 2016: 3. Other Comments and/or Suggestions: OPTIONAL: Name: Vivian I. Ebbesen-Fludd, BSN, MS /s/ Organization: Department of Human Services Address: #3011 Golden Rock, Christiansted, VI 00820 Phone: (340) 718-2980 (St. Croix) / (340) 718-1166 (St. Thomas)