Public Health resource booking form

Please note the maximum you can request is four resources for a loan period of three weeks.

This form will take approximately 5 minutes to complete.

Your data privacy

Before completing this form please read our general Privacy Policy (opens in a new window).

This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it.

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Enter your first name.
Enter your last name.
Enter your job title.
Enter your workplace address.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.

Order details

Enter the item code and title.
Enter the date when the item is needed.
Enter how long would you like to borrow the item.
Enter any additional order requirements.
Last updated:
3 May 2018

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  • West Sussex County Council will only use this email address to respond to any issues raised.