Testify Online
Please complete and submit the following form to testify at a Washington State Board of Health meeting.

If you would like to testify using regular mail, the address is:
Washington State Board of Health
P.O. Box 47990
Olympia, WA 98504-7990

All online or written testimony to be presented to the Board must be received by the State Board of Health by 5 p.m. 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?
 
5. Are you representing an organization?
Yes  
No  
 If yes, what is the name of the organization?
 
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: