January 2019

	 T**ask #**

**HRTM Job #**

**Publication # FHWA-HRT-**

# HRTM Service Request (Intake) Form

**Date Submitted**:  **Date Required**:  ****

**Subject/Title:**

**Requestor/Contact**: **Office/Team**

Publication Submission Requirements: (*See Communications Reference Guide* for more information)

· In Microsoft Word, a document/publication file.

· In Microsoft Word, a complete file of 508 captions (alt text) for all nontext elements.

· In Microsoft Excel, a complete distribution list (if document will be printed).

· Written permissions/licensing for usage of any copyrighted information

· For reports, please include the following: foreword, 1700.7 form, metric chart, standard FHWA disclaimers, table of contents, list of tables, list of figures. **Ensure that all copyrighted information has****proper attribution (e.g., © 2011 xyz company).**

Style Manual Referenced to Develop Document:  Choose one of the following  

     |_| GPO:  		The U.S. Government Publishing Office Style Manual (2008)                               

     |_| Chicago: 	The Chicago Manual of Style

     |_| IEEE:		 IEEE Information for Authors

     |_| ASCE:		ASCE Author’s Guide to Journals and Practice Periodicals

     |_| ACS:		The American Chemical Society Style Guide

     |_| MLA:		The Modern Language Association Handbook

     |_| Other (Specify): _________________________________________________________

Editorial Services by Contractor:

     |_| Writing (articles, brochures, etc.)	|_| Web Only****

     |_| Writing 508 captions	|_| Printing and Web 

     |_| Editing- adherence to CRG and specified writing style	-Print Quantity: 	   ****

****|_| Graphic Design/Layout	-Color or B/W:	   

	-Number of Pages:  ****

**|_| Other:******

****

**If document will be physically printed, what is the justification for printing?**

**Task Description and/or Special Instructions (attach sheet if more room is needed):**

**Step 1:  Receive approval to proceed with task from first-line manager-**

**I authorize this task:**

****

**First Line Supervisor or Team Leader** (per Office delegation of Authority)**Date**

**Step 2:  Receive approval to proceed with task from senior manager-**

**I authorize this task:**

****

**Director’s or Senior Manager’s Signature and Title (email acceptable)            Date**

***HRTM COR approval to proceed with this job:*_     _____________________________**

****

**Things to Remember**

All submitted documents must have been written and edited according to the TFHRC Communication Reference Guide (CRG) prior to submission to HRTM.  We ask that you use the CRG and *the U.S. Government Printing Office (GPO) Style Manual* as your primary style references.  However, should you find that the GPO Style Manual does not meet your needs, please specify on the intake form, under “Publication Submission Requirements,” the style reference of your choice.  ***Note that the chosen style must remain consistent throughout the document.***  If you do not specify a style preference, the editors will default to using the CRG, GPO, and the Chicago Manual of Style.

**Submitted work must comply with and include, but not be limited to, the following:**

· Correct grammar usage, spelling, acronyms, word consistencies, and punctuation according to the style manual selected by author. 

· Make elements consistent with selected style manual including tables, figures, punctuation, numbers, hyphenations, compound words, and capitalizations, except where specified in the CRG as an exception or preference. 

· Fact checking on references, organizational names, and proper names of locations or people.

· Nonuse of contractor and contractor organizational names.

· Verification of section 508 requirements.

· Removal of product names, logos, and brands.

· Reference callouts in text and full reference information on the reference list.

· Table of contents and list of tables and figures. Entries on the lists must exactly match the titles used in the document text.

· Review of structural problems, information reorganization, and clarity and suggested rewrites.

· Clear sentence structures (e.g., passive to active) following the Plain Language Act.

· Confirmation of the accuracy of names of organizations, products, and publications.

· Research on company trademark usage

· Written permission/copyright usage forms or licensing; copyright attribution; copyright symbol usage.

· Confirmation of reference titles, authors, dates, and other key elements in the references.

**Publication Delivery Plan**

**Type of Publication (e.g., report, TechBrief, brochure):       ____________________**

**Project Summary/Research Objective:**

**Identify Product of Research (e.g., new specifications, manual, product, research summary)**

**Target Audience (e.g., State DOT pavement engineers, safety specialists)**

**Distribution Plan (standard distribution list or customized list)**

**Targeted Outreach Venues (e.g., International Bridge Conference, TRB)**

**For Web posting (complete as thoroughly as possible):**

**Topic area (****http://www.fhwa.dot.gov/topics.htm****):**

**Subtopic area (click on major heading listed on topic page, e.g., “Roads and Bridges” for a list of subtopics):**

**TRT keywords (****http://trt.trb.org/trt.asp****):**

**URLs to link from:**