DOH Home H.E.R.E. Main Materials Submit a Material
Document Actions

Submit a Material

Last modified 2016-01-11 14:08
(Required)
Enter the exact title as it appears on the material.
(Required)
(Required)
Enter the dimensions and format of the material (e.g. 8.5x11 brochure, 3.7x8.5 card).
(Required)
Write a short description of the publication's purpose and/or main points. Include behavior change models, data, or audience testing that guided the development of the material; if applicable.
Attach Available Languages
Attach the languages that the material is available in. If it is available in other languages than listed below, please email them to HERE@doh.wa.gov after sending this form. There will be a reminder after sending this form.

 
Enter partners, collaborators, or sponsors of this material.
If this material was primarily created for a certain county or counties, select the county or counties in addition to "Statewide," if its also for statewide use. If the material is for use across the entire state and not a certain county, select "Statewide." To select more than one county, hold down the control key.
(Required)
Select the material typle.
Select the reading level range of this material if it has been assessed using a readability tool. Please do not guess.
(Required)
Enter the date the material was created or last revised.
/ / :
(Required)
Enter the first and last name of the contact for this material.
(Required)
Enter the Program the contact works in at the Department of Health
(Required)
Enter the contact's phone number.