Non-POST Agencies

SECTION I: REQUESTOR INFORMATION
REQUESTER NAME/ TITLE
Phone
Area CodePhone Number
Email
AGENCY/DEPARTMENT/ ORGANIZATION
SECTION II: REQUEST DETAILS
PRIMARY COURSE
SECONDARY COURSE (if any)
NAME OF WHO THIS REQUEST IS FOR (Self or Agency Name)
DESCRIBE NEED FOR LP ACCESS
WHAT IS THE EXPECTED NUMBER OF LEARNERS TAKING THIS COURSE?
If more than 40, describe here
WHAT IS THE REQUESTED DURATION TO COMPLETE THE TRAINING COURSE?
If more than 90 days
HOW SOON WILL ACCESS BE NEEDED?
PROVIDE THE NAMES AND EMAIL ADDRESSES OF ALL INDIVIDUALS WHO WILL NEED POST LEARNING PORTAL ACCESS.
1. NAME
1. EMAIL
2. NAME
2. EMAIL
SECTION III: SUBMISSION
SUBMITTER NAME/TITLE
SUBMISSION DATE
Month - Day - Year

In addition to the web-based public complaint form you can download and complete this pdf version

SECTION I: REQUESTOR INFORMATION