Condom Distribution Form - City of Philadelphia, Pennsylvania

Condom Distribution Form - City of Philadelphia, Pennsylvania

Condom Distribution Form is a legal document that was released by the Department of Public Health - City of Philadelphia, Pennsylvania - a government authority operating within Pennsylvania. The form may be used strictly within City of Philadelphia.

FAQ

Q: What is the Condom Distribution Form?A: The Condom Distribution Form is a form provided by the City of Philadelphia in Pennsylvania.

Q: What is the purpose of the form?A: The purpose of the form is to request free condoms from the City of Philadelphia.

Q: Who can use this form?A: Anyone who resides in or operates a business in Philadelphia, Pennsylvania can use this form.

Q: What information is required on the form?A: The form requires the requester's name, address, contact information, and the quantity of condoms requested.

Q: Is there a cost to request condoms?A: No, condoms requested through the form are provided free of charge.

Q: How long does it take to process the form?A: The processing time for the form is not specified.

Q: How will the condoms be delivered?A: The form allows the requester to select either pick-up or delivery options for receiving the condoms.

Q: Who can I contact for more information?A: For more information, you can contact the Philadelphia Department of Public Health at the provided phone number or email address.

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Form Details:

  • The latest edition currently provided by the Department of Public Health - City of Philadelphia, Pennsylvania;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Department of Public Health - City of Philadelphia, Pennsylvania.

Download Condom Distribution Form - City of Philadelphia, Pennsylvania

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  • Condom Distribution Form - City of Philadelphia, Pennsylvania, Page 1
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