Document Design & Layout Request Form



|Requested Deadline – Date:       Time:       |For Bureau of Publications Use Only |

| |Order #       Date Received       |Estimate #      |

|Requestor’s Name:       | SAP Coding (Fund/CC/GL) |Estimated $      |

|Department:       |      /       / 6399998 – 100% | |

|Bureau/Office:       |      /       /       –   % | |

|Room #:       Building #:       |      /       /       –   % | |

|Street Address:       |      /       /       –   % | |

|City, State, Zip:       |      /       /       –   % | |

|Email Address:       |      /       /       –   % | |

|Phone No.:       | | |

| | |ESTIMATES |

| | |Estimate Required Prior To |

| | |Production |

| | |Any modification to |

| | |specifications once estimate is|

| | |provided will invalidate the |

| | |estimate. Shipping/mailing |

| | |costs not included in |

| | |estimates. ESTIMATE GOOD FOR |

| | |UP TO 90 DAYS. |

|Grant Internal Order # (If applicable)       |ICS Coding (If applicable)       | |

|DOCUMENT INFORMATION |

|Description and Special Instructions: |Artwork: |

|(Include Document Number, if applicable) |New Design |

|      |Hard Copy |

| |Native Art File Type –       |

| |PDF Only, No Native Art File Available |

| |Artwork Contact (If different than requestor) –       |

| Meeting Is Requested Prior to Start of Production |Update of Previous Order – Order #       (If known) |

|Document Category (check all that apply) |

| Annual Report | Display Panels | Logo |

|Book |CD/DVD Jewel Case Insert |Address Prep Services* |

|Brochure |Envelope |Needed for Mass Mailing |

|Business Card |Fact Sheet |CASS |

|100# Cover Stock – |Folder |NCOA |

|      # of Names Attached |Form |Name Tag/Tent |

|# of Cards/Person |Design with electronic form fields |Newsletter |

|Double-Sided Cards |Flyer |Pamphlet |

|Special Features (only applicable |Graphic Design |Poster |

|for Deputy Secretaries and Higher) |Label |Report |

| |Letter |Scan to Image |

|Certificate |With Variable Data |Scan to Text |

|Copyright Service |Letterhead |Web Design |

| | |Other       |

|Required for New Designs and Estimate Requests |

|Level of Design Requested: |# of Elements to be Added to Layout: |IMPORTANT POINTS |

|File Verification & Correction – Check file to ensure job |Pages       Photos       | |

|will print correctly for mass production (requestor has |Illustrations       Images       |Not sure what you need? Contact us for a free initial|

|done all layout) |Images Will Be Provided by Client |consultation. We’d be happy to guide you through the |

|Basic Layout – Most layout done by requestor, but more | |design process. |

|complex elements need added (photos, charts, etc.) |Content is: |********* |

|Text Layout – Text only layout is needed |Draft |To keep design costs and turnaround time minimal, we |

|Standard Layout – Layout needs graphic design including |Pending Final Content Approval |encourage clients to obtain final approval of their |

|color on a few pages and a few images, charts or photos |Final – Content Approval Complete |content prior to layout. |

|Marketing Level – High-end design with lots of color, | |********* |

|images, charts and photos |Current Electronic Format is: |Consult with us early in the process in order to |

| |      |ensure sufficient design and print production time |

| | |and to avoid rush fees. |

| |Number of Preliminary Designs Requested:       | |

|IMPORTANT INFORMATION FOR BUDGET PLANNING PURPOSES | | |

|Your design costs will increase in accordance with the | | |

|level of complexity of your project. | | |

|DELIVERY SPECIFICATIONS |

|DELIVERY METHOD |DELIVERY LOCATION(S) |

|Customer Pick Up |Customer at Address Listed at top of Page 1 |

|Publications Delivery Service |Other Delivery Location –       |

|Parcel Shipment (i.e., UPS, USPS, etc.) |Multiple Drop Shipment Locations (List below or supply us with an Excel |

|Other –       |spreadsheet) –       |

|SUBMITTAL PROCEDURES AND AUTHORIZATION TO PRODUCE |

|(IF ESTIMATE IS REQUIRED, DO NOT COMPLETE UNTIL AFTER YOU HAVE ACCEPTED THE ESTIMATED PRICE) |

| |

|By typing my name below and emailing this form to “GS, Publications Customer Service” at RA-gspubcustservice@state.pa.us, |

|I am authorizing the production of this request. |

|Type Name Here to Authorize Order –       |

|After completing this form, save the completed form to your PC. Then attach the completed form to an email message |

|sent to “GS, Publications Customer Service” at RA-gspubcustservice@state.pa.us. |

|For RUSH ORDERS, please call 717-704-1029 immediately after emailing us your completed order form. |

|For Bureau of Publications Use Only |

|CAM Assignment:       |Files Located in: EJB FTP Site |

|Comments from CAM:       |Deliver Hard Copy Originals to:       |

|SAP Document Number:       |Job Cost Total:       |

For more information and guidance in completing this form, visit us on the web at

SIGNS * DESIGNS * PRINT * MAIL

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Document Design & Layout Request Form

STD-7 Rev. 6/2010

Department of General Services

Bureau of Publications

717/704-1029

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