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Communications Work Request Form
Please complete the following form to initiate Communications work requests. Requests include mass emails (Constant Contact), flyers, website content update and other written materials. Please allow 3 business days for your request to be completed.
For large projects, please email instructions in word format (.doc or .docx) to
Describe the work*
Include any additional information/instructions
Please indicate recipient list using drop-down menu below,
** For OTHER, If you have a unique mailing list, please email it to;
SOM & Northwell (ALL)
SOM INTERNAL STAFF & FACULTY
SOM INTERNAL FACULTY
Specify date and time in which the work must be completed.
Estimated Due Date
Please provide at least 3 business days notice
Please send all additional documents, images or questions related to the project to
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