Testify Online
Please complete and submit the following form to testify at a Washington State Board of Health meeting.
All online or written testimony to be presented to the Board must be received by the State Board of Health by Noon on the Friday before the Board meeting.
Information submitted to the State Board of Health via this public comment web page is a public record. Public records are subject to public disclosure under the Public Records Act, Chapter 42.56 RCW.
1.
State Board of Health Meeting Date:
2.
Agenda Item or Issue:
3.
Your Name:
4.
Do you have a professional title?
Yes
No
If yes, what is your professional title?<br />
5.
Are you representing an organization?
Yes
No
If yes, what is the name of the organization?<br />
6.
Address:
7.
Email:
8.
Phone Number (Include Area Code):
9.
Do you have any special expertise relevant to this topic?
Yes
No
If yes, please specify:
10.
Are you testifying on a specific proposal under consideration by the board?
Yes
No
If yes, please summarize that proposal:
11.
Are you Pro or Con on the proposal?
Pro
Con
Please provide information on why you are taking a position on the proposal:
