Electronic Letterhead Requests

Electronic letterhead can be used to send official memos as email attachments and for other digital formats. Just fill out the form below, and we’ll create your letterhead and send it as a Microsoft Word document that you can easily edit and share.

Electronic Letterhead

Letterhead details

Please provide the information to list on the letterhead.

Department/office name *

Department/office website (optional)

Do not include https:// or www. Ex: surgery.wustl.edu

Individual's name (optional)

Full name with suffix and degree(s).

Individual's title(s) (optional)

Email address (optional)

Phone number (optional)

Fax (optional)

Mailing address

660 S. Euclid Ave St. Louis MO 63110 (enter Campus Box below)

Other (select to enter below)

Campus box *

Address

City

Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Additional letterhead information

Is there any other information the letterhead should include?

How will the electronic letterhead be used? *

This will help us determine which Washington University logo to include at the top.

Academic/research/mixed use: For general use by a department, division, center, administrative office, etc.

Clinical use only: For use with patients and referring physicians.

Not sure: Describe below

Usage details *

Please tell us more about how you plan to use the letterhead, and specifically, who it will be sent to.