District boards of health request to form

The county boards of any two or more geographically contiguous counties may at any time submit a request to form a district board to the state department. The formation request shall be in writing, shall be executed by the county boards of supervisors and the county boards of health for each county comprising the proposed district board, and shall include but not be limited to the following required elements: 1. A written narrative that explains how a district board will attain the capability to provide population-based and personal public health services. 2. The composition of the district board, including the number of members each county shall appoint pursuant to section 137.105 and the total number of members on the district board. 3. Proof of approval by all county boards of supervisors and county boards of health involved in the request to form a district board and of the elements included in the formation plan. 4. The service delivery plan. 5. The budget and fiscal plan for the proposed district board. The budget plan shall include an estimate of proposed expenditures and revenues and an allocation of the revenue responsibilities of each of the counties participating in the proposed district board. 6. A table of organization. 7. A personnel system description, including identification of the district treasurer and district auditor and a section which addresses the employment issues contained in section 137.110. 8. The location of the district board offices and workforce throughout the jurisdiction. 9. An inventory of the property and equipment in the custody of each county board and a description as to whether such property and equipment shall remain in the custody of the county or shall be transferred to the district board to become property of the district board. 10. A timeline for the adoption of district board rules and regulations. 11. Other criteria as established by rule of the state department.