Request Technical Assistance
The Northwest Environmental Justice Center is committed to offering free technical assistance to build thriving communities.
Please complete the form below to help us understand what type of technical assistance you’re seeking, or call us at (971) 341-3859 or email us connect@nwejc.org.
Follow the links below to fill out the online Technical Assistance Request form in English or Spanish.
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. OMB Control Number: 2030-0051. Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 10 minutes per response.
Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division; U.S. Environmental Protection Agency (2821T); 1200 Pennsylvania Ave., NW; Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
Accessibility
If you have any specific needs or requests, including the translation of this form into a language other than English or accommodations for disabilities such as sign language interpretation, braille materials, or assistance with reading the form and filling it out on your behalf, please contact us at connect@nwejc.org or call (971) 341-3859.
Privacy
Your personal data will be kept confidential and reported in aggregate form to the Environmental Protection Agency (EPA) and the Department of Energy (DOE) as a requirement for the grant we received for the Northwest Environmental Justice Center.
PDF Forms
If you are unable to use the online form, a fillable PDF of the Technical Assistance Form is also available.
— ENGLISH PDF FORM
— FORMULARIO PDF EN ESPANOL
Please print and mail completed forms to the address below. We’ll reach out via your contact information provided.
ATTN: Northwest Environmental Justice Center
Willamette Partnership
1300 SE Stark Street, Suite 212
Portland, OR 97214