Industrial Hygiene Contact Page - Defense Centers for Public Health

Requests for onsite support or help from a subject matter expert from IHFSD Industrial Hygienists or Engineers must be submitted to the DHA Operations Center RFI Mailbox (see below) using a DHA Form 435. To fill out the form, it must be downloaded and opened in Adobe Acrobat, or a compatible application. Incomplete forms will cause a delay in processing your request. Please follow the instructions below and email to both addresses to initiate a request for assistance. A member of the IHFSD team will reach out to the main point of contact listed on the request form.

DHA Form 435 Instructions for Non-DHA Customers:

Blocks	Instructions
1-3:	Main point of contact for the request.
4-8:	Leave blank.
9:	Choose from drop down.
10:	10 a-c Same as blocks 1-3 or an alternate point of contact.
11:	Request services for your topic.
12:	Include the text "Task to: AD-HCA-PH DCPH-A OHS. Request that the Industrial Hygiene Field Service Division (OHS), Defense Centers for Public Health - Aberdeen provide services". Include as much request detail as possible. Add the 5 "W"s to explain the request. (Who is requesting support? What support do
13:	Date submitted.
14:	The date the work should be completed + 7 days. (Note: DCPH-A must complete the tasker approximately a week before the final due date because it must pass through 3 levels of review and close-out above us. Each level above us takes 1-2 days of the final suspense to do their part.
15:	Select if support is urgent (must be completed in the next 14 days) or routine (may take longer than 14 days).
16:	If selecting “urgent” in 15, you must provide a justification. Is this work required by a regulation or requirement? Something else?
17:	Leave blank.
Email the completed DHA Form 435 to the following mailboxes: To: dha.ncr.operations-j-3.mbx.rfi-mgr@health.mil Cc: dha.apg.Pub-Health-A.mbx.ind-hygiene-field-svc-division@health.mil