Pipeline and Hazardous Materials Safety Administration (PHMSA), Office of Hazardous Materials Safety

Emergency Response Guidebook 2020 Forum

The ERG Public Forum will be held on Monday June 17, 2019 at the DOT Headquarters Conference Center: 1200 New Jersey Ave SE, Washington, DC 20590. The Forum is scheduled to run from 08:30 AM to 02:30 PM EST, including a one hour lunch break. A call-in number will be forthcoming for remote participation.

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Have you attended a PHMSA Public Forum before?

Yes

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* 3. Will you attend the ERG2020 forum in person or remotely? (Call-in number will be forthcoming)

In person

Remotely

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* 4. Please indicate your interest in the ERG (Check all that apply)

First Responder community

Training/Academic

Industry

Interested public

Other (please specify)

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* 5. DOT is committed to providing equal access for all Americans and ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided or alternative accommodations, please contact PHMSA-Accessibility@dot.gov no later than June 3, 2019.

Please indicate below if you will be requesting an accommodation.

If "yes" please describe the request below.