Health Hazard Evaluations – HHE Request Form

We apologize, but our HHE online request form is currently unavailable.

You can request an evaluation with this formpdf icon using one of the following methods:


Email the completed form to


Fax the completed form to 513-841-4488


Mail the completed form to:

National Institute for Occupational Safety and Health
Hazard Evaluation and Technical Assistance Branch
1090 Tusculum Avenue, Mail Stop R-9
Cincinnati, Ohio 45226-1988

Page last reviewed: September 28, 2018