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:	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
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

DHA Form 435 Instructions for DHA Customers:

Blocks	Instructions
1-3:	Main point of contact for the request.
4:	Select the Defense Health Network you belong to. (i.e., if in National Capital Region, Select DHN NCR)
5:	List your Medical Treatment Facility (MTF). If not part of an MTF, use the closest geographical MTF. If not listed in the dropdown, skip and go to #6.
6:	Type in the nearest MTF. i.e. “Kirk Army Health Clinic”
7:	If customer knows a network point of contact, add it in 7.
8:	If customer knows their MTF point of contact, add it in 8.
9:	Leave blank.
10:	10 a-c same as blocks 1-3 or an alternate point of contact.
11:	Short description of the request. This will become the title of the tasker.
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 they need? Where is it needed? When should it happen? Why is it needed?)
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.

Submit the form:

Full instructions to submit are at the top of the DHA 435 in the “Instructions" box. Generally, the process is as follows:

Form must be e-mailed to their supporting Defense Health Network. The Network reviews the request to determine if it is a legitimate request, and if the Network can provide the requested support. See: https://health.mil/About-MHS/Defense-Health-Networks
If the Network is unable to support a legitimate request, they will create a tasker in ETMS2, attach the DHA 435, and route the form to the DHA Operations Center's RFI/RFA Team: ETMS2 Name: DHA-RFI RFA
Upon receipt, the RFI/RFA Team will task our organization to complete the work.
Please cc: dha.apg.Pub-Health-A.mbx.ind-hygiene-field-svc-division@health.mil