Iowa 911 Children's Activity Book Request Form

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You must use this form to request hard copies of the Iowa 911 Children's Activity Book. Any requests outside of the form will not be considered. Booklets are available on a first-come-first-serve basis. English booklets are limited to 450 per PSAP ( 3 boxes) and Spanish booklets are limited to 150 per PSAP (1 box). Please limit one request per PSAP.

Email *

County *

PSAP Name *

PSAP POC Name *

Indicate if you want English books here. Note that they come in boxes of 150. The maximum request is 3 boxes.

Request the number of Spanish activity books here. Note that the limit is currently 150 per PSAP. The box will not be broken down into smaller increments.

IF additional booklets are made available later please note the amount you would like to possibly receive. Note that any additional booklets will be given first to those who did not receive any with the first distribution. Please provide the amount for each language.

These WILL NOT be mailed out. You, your County EMA, or any designee may pick them up from an HSEMD sponsored training, district meeting , or at JFHQ with prior notice and arrangements being made. Please enter your initials below to confirm you have read this statement. Please coordinate pickup by sending an email with the upcoming meeting or training you would like to pick the books up at and who will be picking them up to 911@iowa.gov. *

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