Public Awareness Request Form

Use this form to submit a Public Awareness Request.

Phone number format example: 802-555-1234
Zip Code format example: 05676
Please check off the type of Public Awareness Event you are requesting.

Contact Us

Phillip Seiler

NOB 1 North, 280 State Drive
Waterbury, VT 05671-1090
Toll Free in Vermont: 1-800-750-6355
Fax: (802) 241-0341
For Telecommunications Relay Service: Dial 711

Connect with Us
Limited English Proficiency (LEP)


This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services