Submissions for Directory
If you would like an organization, business, group, or individual to be added to the Maryland Governor's Office of the Deaf and Hard of Hearing Directory (, please fill out this form below.

If the contact information is already on the directory but needs to be updated, replaced, or omitted, please contact
Name of Business *
Name of business, organization, group, or individual.
Your answer
Category *
Brief description of services provided *
Your answer
Primary point of contact's name
If your organization has a primary point of contact for individuals to contact for more information, please include the person's name.
Your answer
Business address
Your answer
Phone number
Include all phone numbers that individuals can contact your business for more information (i.e. Videophone, Voice, Toll-Free, Text, etc).
Your answer
E-mail address
If possible, include an e-mail address that individuals can contact your business for more information.
Your answer
Website address
If possible, include a website address that individuals can visit for more information.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Report Abuse