Wireless Device Request Form

Before submitting a request, please review the Mobile Devices and Services policy. Telecommunications will not honor a wireless request if the standard is not met under DHMH Policy 01.05.07.
Once the Wireless Device Request Form is submitted, you can expect a response within 5 business days.
If you need assistance completing the Wireless Device Request Form, please contact Michele Marable at 410-767-6863. Thank you.