Publication NumberElectronic Document Library (EDL) Placeholder by hri21690

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									              Publication Number/Electronic Document Library (EDL)
                            Placeholder Request Form

                                       Requestor's Information
Requestor Name/Tel:                                                   Request Date
Task Manager/Tel:                                                     Routing and Room:

   New Publication          Revision          Reprint Publication Number:

                                       Publication Information
                                           Publication Title:




CHOOSE ONE:

                    Publication Number                              Publication and EDL Numbers

    Publication Type (Check One)                            Publication Category (Check One)

              Book                                     Commercial Vehicle (CV)
                                                       Crash Avoidance (CA)
              CD-ROM/DVD                               Intermodal Freight (IF)
              Flyer/Brochure                           Rural Transportation Systems (RTS)
                                                       Transit Intelligent Transportation Systems (TTS)
              Folder
                                                       Travel Management Systems (TMS)
              Report                                   Other (Describe):

              Video Cassette



                               PLACEHOLDER REQUEST PAGE




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