the CMAHC Change Request form

advertisement
MODEL AQUATIC HEALTH CODE
CHANGE REQUEST FORM
All change requests and supporting materials must be received by February 19, 2015
Please follow the instructions below to request changes to the Model Aquatic Health Code (MAHC).
Guidance for Submitting a Change Request
Intent: Any interested person or group may submit a
change request or multiple requests.
Change Requests: Change requests must be completed
in accordance with the directions outlined on this form
and based on the latest edition of the Model Aquatic
Health Code which is published on CDC’s website:
http://www.cdc.gov/healthywater/swimming/pools/ma
hc/structure-content/.
Collective Request: If submitting a change request on
behalf of a group or organization, indicate the point of
contact in the “Name” line and the group in the
“Submitted on Behalf of” line.
Form and Content of Change Requests: Please use a
separate form for each change request. Submit
completed form as a document (“.DOC” or “.DOCX”)
attachment to an e-mail. Attach supporting information
as PDF or DOC/DOCX attachments to the same e-mail as
the associated change request form. Please send only
one change request form with supporting information
per e-mail.
Where to Send Change Requests: Send completed
change requests and substantiating resources to:
info@cmahc.org.
If e-mail is not available, mail disk containing form and
supporting materials to: CMAHC CHANGE REQUESTS,
P.O. Box 3121, Decatur, Georgia, 30031.
Withdrawal of a Proposal or Comment: Withdraw a
change request at any time prior to the announced
closing date for receiving the change request by sending
an e-mail stating so to info@cmahc.org.
Guidance for Completing Change Request Form
Propose NEW or REVISED or DELETED Text: Present the
text of the change request in proper code format and
terminology with the specific wording desired, including
deletions and additions, shown as indicated on the
form. Ensure the request is complete and specific to
eliminate misinterpretation.
Provide the Reason and Benefit of the Suggested
Change: Justify why the requested change is necessary
to improve the current provisions of the MAHC. If
requesting to add or delete a requirement then support
the request with a clear explanation that:
1) Demonstrates why the current provisions are
inadequate, and
2) Explains how the change request will improve
the MAHC.
Substantiate Request with Supporting Information:
Substantiate the proposed change based on technical
information, published scientific studies, other
references or editorial in nature. The responsibility of
providing supporting material lies with the submitter of
the change request.
List all references used within the substantiation section
of the change request form by first author and article
title. Attach PDF or DOC/DOCX copies of the references
cited to the change request e-mail.
MODEL AQUATIC HEALTH CODE
CHANGE REQUEST FORM
Please type or print clearly. Forms containing illegible text cannot be processed.
Name:
Click here to enter text.
Organization:
Click here to enter text.
Submitted on Behalf of:
Click here to enter text.
Address:
State or
Province:
Phone:
E-mail:
City:
Click here to enter text.
Click here to enter text.
Click here to enter text.
Date:
Click here to enter text.
Zip or Mail
Code:
Ext:
Click here to enter a date.
Click here to enter text.
Click here to enter text.
Country:
Click here to enter text.
Click here to enter text.
Fax:
Click here to enter text.
Click here to enter text.
1) Specify the MAHC Section, Table, or Figure of this Change Request
Check the box to indicate proposed changed of MAHC Section, Table, or Figure.
Type the specific MAHC provision number beside “Number” (e.g., “5.7.4.4.1”).
☐ Section
☐ Table
☐ Figure
2) Note Other MAHC Sections
Affected by this Change:
Number:
Click here to enter text.
Click here to enter text.
3) Select How MAHC Section Should Change
Check the applicable box.
☐ Revise as follows
☐ Add new text as follows
☐ Delete and substitute
as follows
☐ Delete without
Substitution
4) Propose NEW or REVISED or DELETED Text
Strikethrough text to be deleted. Underline text to be added.
Remember: Only one change request per form.
Click here to enter text.
5) Provide the Reason and Benefit of Suggested Change
(e.g., cost reduction, public health impact, new technology, etc.)
Click here to enter text.
6) Substantiate Request with Supporting Information
Provide substantiation to support proposed change. Changes must be supported by technical information, published scientific studies,
other references, or editorial in nature. Below, please cite references by name of first author and article title. (e.g., Author, Title.)
Click here to enter text.
Download