GIS Map Request Form
Please enter the following information. (Date Submitted and Date Needed should be entered. Click on the calendar icons to enter dates.)
*Please note the GIS team provides support to all of DSHS. Typically our turnaround time is within 5 business days.
[None] Date Needed:
What unit of DSHS is requesting this map?
What is the purpose of the map?
Map will be used for:
All data must be submitted as attachments. If you have non-confidential data, send it in excel, access, or dbf format to:
If you need to submit confidential data, contact us for a secure ftp address.
What data will you provide?
What features/data do you want displayed in the map?
Does the map need to be Black & White compatible?
Output file type:
(Specify dimensions, if other than 8.5 x 11)
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