GIS Map Request Form
Please enter the following information.
*Please note the GIS team provides support to all of DSHS. Typically our turnaround time is within 5 business days.
Date Submitted and Date Needed should be entered.
(Click on the calendar icons to the right of both Date Submitted and Date Needed to enter dates.)
Monday, February 23, 2015 Date Needed:
Monday, February 23, 2015
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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