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.
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.
Form Details:
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.