DANR Communication Services
SUBMITTAL FORM (MF-21)

INFORMATION
TITLE OF PUBLICATION: ________________________________________________________
_____________________________________________________________________________
AUTHOR(S): __________________________________________________________________
KEYWORDS (for searchable database): _____________________________________________
POTENTIAL MARKET (be specific): ________________________________________________
_____________________________________________________________________________
TYPE OF PUBLICATION:
	__ 7000 SERIES	__ SPECIAL PUBLICATION	__4-H
	__ 8000 SERIES	__ EFNEP-YOUTH		__ WREP
	__ LEAFLET		__ EFNEP-ADULT		__ OTHER ________________
									(please specify)
STATUS:
	__ NEW		__ MINOR REVISION OF PUBLICATION NUMBER _________
				__ MAJOR REVISION OF PUBLICATION NUMBER _________
	Old version of revised publication should be (check one):
	__ sold until inventory is gone	__ destroyed after this revision has been printed
	__ sent to author		__ other (please specify) _________________________

PRODUCTION
Is Communication Services producing this publication? __ yes __ no (check one)
	(if “no,” author is producing this publication and a Conceptual Okay by CS is all that is needed)

SIGNATURES (Signatures 1-3 must be completed at the time of submission.)

(1) If no pesticides are mentioned, author should initial here ____

If pesticides are recommended, the associate editor sends the manuscript with this form to the Statewide Pesticide Coordinator. The following section will be completed by the Statewide Pesticide Coordinator. Pesticide warning to be used:
	__ General	__ Homeowners	__ IPM		__ Rodents
	__ Livestock	__ Commercial Grower	__ Plants	__ Other ______________

CERTIFIED BY THE STATEWIDE PESTICIDE COORDINATOR:
________________________________________________________ 	DATE: _________

(2) In preparing or revising this material I followed the DANR Communication Services Guidelines to Authors. I now submit this material to be considered for publication by DANR (author):
________________________________________________________	DATE: _________

(3) This material has gone through the DANR peer review process. The author has appropriately responded to comments and suggestions by reviewers. This material meets programmatic acceptance as a DANR product (associate editor):
________________________________________________________ 	DATE: _________

(4) I have received this material as approved for publication (Communication Services production operations manager):
__________________________________________ DANR Pub. No. _______ DATE: ________