Nebraska, United States

Training, Exercise, and Consultation Request Form

Thank you for your interest in our services! In keeping with our dedication to public health preparedness and community resilience – we strive to accommodate each and every request received from our customers. To ensure that we are maintaining our geographic and organizational reach, we are introducing a new venue for submitting requests. We ask that you help us by submitting your requests using the form and timeline below.

Customer Requested Date of Training/Exercise Request Form Submission Deadline Notification/Confirmation of Training/Exercise
January – March November 15 November 22
April – June February 15 February 22
July – September May 15 May 22
October – December August 15 August 22

* Requests for assistance can be submitted well in advance!

Name (required)
E-mail (required)
Phone (required)
Organization Name (required)
Other Request:
Date Range:
If specific date is already determined, please provide actual date:
Additional Comments: