Office of Communications


West Virginia Department of Health and Human Resources

2013 MEDIA CONTACT FORM

(Please type in your information and use the Tab key to go to the next space.)

DHHR Staff Person:

Bureau & Office/Facility:

Reporter/Media Outlet:

Date of Contact:

Date Report will be Published/Aired:

Contact Topics:

Briefly summarize the contact. (What was said and who said it?  Include any other relevant information.)

Follow-up Needed by Communications staff?

What?

Submit completed forms online within one business day to the Office of Communications.  Make preliminary telephone reports of "hot" issues by telephone and follow-up with a written report.  Submit this report, by e-mail to Neal.R.Kerley@wv.gov or send to:

Office of Communications and Legislative Affairs
One Davis Square, Suite 100, East
Charleston, WV 25301
Phone: (304)558-7899
Fax: (304)558-7075

    

Office of Communications Home

Revised: 01/10/13