This form allows your agency to submit print and digital materials for review to the Los Angeles County Department of Health's Nutrition and Physical Activity Program. Please allow 2 business days for materials review and approval.

If you have any questions regarding this form or the materials review process, please email Kelli Vos (kvos@ph.lacounty.gov) or contact your Program Manager.

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* 1. Contact Information

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* 2. Organization

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* 3. Who is your Program Manager?

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* 4. Is this material based on a template that has already been approved by the Department of Public Health? If yes, you do not need to submit the item for review unless the logos have been altered.

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* 5. Briefly describe the type of material to be reviewed (ex. flyer, banner, video, presentation, t-shirt, etc.)

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* 6. Describe the purpose of the material and how it will be used.

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* 7. Is the item to be reviewed a video?

If the item to be reviewed is a video, do one of the following:
  • Upload the video to YouTube as an unlisted video and share the link.
  • Upload the video to Vimeo and look for the "send file" icon in the bottom corner of your video's thumbnail. Here, you can share a private version of the video for review.
  • If your organization does not have YouTube or Vimeo, go to wetransfer.com. Click on "Add Your Files" and select your video file (.mp4) for transfer. Email the file to kvos@ph.lacounty.gov. In the message, please indicate that the file is for review.
If you have any issues with sharing a video file, or the file is too large to send via WeTransfer, please email Kelli Vos (kvos@ph.lacounty.gov).

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* 8. Video link (if applicable)

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* 9. Upload the document or file to be reviewed.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 10. Do you have additional materials to review?

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