What type of facility would you like to nominate for the Oklahoma Lead Testing in Schools and Childcare Facilities program?
School
Child Care
Name of the facility you would like to nominate
Facility Address
Street Address
County
Please select a county.
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
LeFlore
Lincoln
Logan
Love
Major
Marshall
Mayes
McClain
McCurtain
McIntosh
Murray
Muskogee
Noble
Nowata
Okfuskee
Oklahoma
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
City
Zip Code
Which of the following best describes you?
Parent/Guardian of a child at the facility
Concerned community member
Public water system representative
Staff member at facility (not Director/Superintendent/Principal)
Other
Which of the following best describes you? [Other]
Max 200 characters
Send Request