Media Request Form

Media Request Form

Please complete the form in its entirety as we process your request.

For FOIA requests, please click here

https://www.dwihn.org/FOIA.id.488.htm

Contact Information

First & Last Name*

Phone*

Phone

Email*

Position/Title*

Media Outlet*

Request Details*

Deadline Date*

Send me a copy of my responses

Privacy Notice|Report Abuse