Communications Support Request

ORG.1110.PL.002.FORM.01

This form is available in alternate formats upon request. Please contact us by email or 1-800-742-6509.

Communications Support Request

Pre-submission checklist. I confirm that:

all content is final and approved by the site / program / service Director and Senior Leader

this submission aligns with policies: ORG.1110.PL.002 Graphic Design Support & Guidelines; ORG.1111.PL.002 FLS Communications in Official Languages

I understand that incomplete requests will be returned and may result in delays

Name

First Last

Site / Program / Service

Phone

REQUEST DETAILS

Title / Description

Date required (dd-mm-yyyy)

DD dash MM dash YYYY

A minimum of TWO (2) weeks is required, assuming English / French script is provided where applicable. Expected completion timelines of the request will be determined based on factors such as volume and stage of development. Timelines are subject to change depending on regional priorities.

Upload file

Upload your most current file(s) version(s)

Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

File intended for

(select all that apply)

General Public

Online

Staff

Print Options

Externally

Internally

The printing vendor-site / program / service is to coordinate.

# of copies

Please enter a number less than or equal to 1000.

Colour printing

Yes

Ship via interdepartmental mail / courier to

Other instructions

(i.e. 2-fold, double-sided, paper size, special stock, etc.)

Additional comments

Comments

This field is for validation purposes and should be left unchanged.

Healthier people. Healthier communities. Thriving together.

Southern Health-Santé Sud

Partnering with our communities, we provide safe, accessible and sustainable people-centred health care.