Public Information Evaluation Form


Please submit requests at least two weeks prior to planned distribution or post date.
Turnaround time could be delayed on last-minute submissions.


Comms: PI Info Eval 2

Your Information

Name
Name
First
Last

Public Information Materials

Please check the type of material. More than one use may be marked.
Will these materials be posted in a DOH facility?

Language Access

Language:

Content

For level, use MS Word Tools (spelling/grammar) or WebFX Readability Test.
Content is language/culturally appropriate for the intended audience
Meets current medical/technical/professional policies and practices
*The Requester is responsible for working with the Bureau Information Coordinator to ensure materials are reviewed within the Bureau and by other programs in the Department and/or County or State agencies, as appropriate.
Copyright approval has been obtained if applicable
Free of advertising or commercial bias
Identifies the Anne Arundel County Department of Health and Program’s name
Lists phone number and a Department URL
For publications only: Includes EEO statement
Material identifies date submitted

Public Information Routing Slip

Maximum file size: 100MB

Example: Canva
Start Over