Presenter Request Form for HMSAT

PHMSA - U.S. Department of Transportation - Pipeline and Hazardous Materials Safety Administration

HMSAT Southwest Region Presenter Request

Important: A representative of the Hazardous Materials Safety Assistance Team (HMSAT) is available in your region to answer your questions and provide on-site assistance to customers of the Hazardous Materials Transportation-State and Local Education (HMT-SALE) program, State and local governments, and industry associations with technical issues, outreach, training, and compliance assistance in the field of hazardous materials transportation. HMSAT cannot give a presentation for a private company.

To request a presenter, please fill out the form below or call 713-272-2822 to reach the HMSAT representative for the Southwest Region located at the Department of Transportation's regional office in Houston, TX or send an email to phmsa.hm-hmsat.southwest@dot.gov, phmsa.webmaster@dot.gov.

Requests should be submitted as far in advance as possible with at least three weeks allowed for scheduling.

Complete the applicable fields and indicate not applicable (N/A) for the inapplicable fields.
*Indicates a required field.

Requestor’s Name:*
Agency/Company:*
Email Address:
Telephone Number:*
Fax Number:
Street Address:
City, State, and Zip Code:
Name of Event:*
Date(s) of Event:*
Event Street Address:*
Event City, State, and Zip Code:*
Details of Session(s) and Desired Topic(s):*
Time Allotted for Presentation(s):
Number of Attendees:*
Target Audience:*
Please specify if other:*
Style of Event:*
Please specify if other:*
Room Arrangement:*
Please specify if other:*
Available Resources at Event (i.e., projector, screen, laptop, electrical outlet, etc.):

Additional Information, Comments, or Requests: