Free 51749.pdf - Indiana

JUSTIFICATION FOR PDF TO BE PLACED ON IDEM WEBSITE
State Form 51749 (4-04) Indiana Department of Environmental Management

INSTRUCTIONS:

1. Please type or print information. 2. For Duration of Posting, check the amount of time that the file should remain on the site before it is reviewed. All files will be reviewed at least once a year. If other is selected, include duration of posting. 3. In the justification section explain why this document must be presented in PDF format, also include plan for supplying a fully accessible version of the same information 4. Submit completed form along with a copy of the item to be made into a PDF to the appropriate Web central developer.

REQUESTING PARTIES
Name of Content Author Name of Content Manager Department

FILE INFORMATION
File Name Web Site Location Duration of posting: (check one)

90 days
Why does the file need to be presented in PDF format?

6 months JUSTIFICATION

1 year

other:

AUTHORIZATION
Signature of Web Team Member Date (month, day, year)