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Health Hazard Evaluations (HHEs) Request

Request an HHE

Employees, employee representatives, or employers can request an evaluation of possible health hazards associated with a job or workplace

You can request an evaluation using one of the following methods:

Fill out our online request form

Print this form

Submit the printed form by fax or mail:




NIOSH, Health Hazard Evaluation Program
4676 Columbia Parkway, R-9
Cincinnati, Ohio 45226

For more information about the HHE Program:

Call Us:
Toll-Free Information Service:

1-800-CDC-INFO (800-232-4636)

For general information or questions about any hazard or illness:


For questions about respiratory illness:


Email Us: