Office of Elder Services - Medicare Event Form

Please use this form to enter events related to Medicare in Maine.

After you have submitted the form, it will be reviewed, and then posted on this website. If you do not see the event within the next few days, please contact the Webmaster

Medicare Event Entry Form

Information to be displayed on Web:

Title of Event:
Description:
Target Audience:	Provider Consumer
Contact:
Organization:
Phone:
E-Mail
Event Location:
Date: (YYYY-MM-DD)
Time:
Web Link:
Run announcement from: (YYYY-MM-DD)
Run announcement to: (YYYY-MM-DD)

Information if we have questions about your submission:
Contact information same as above

Name:
Phone:
E-mail:

Password:	Note: A password is required for submission of events. If do not have the password, please contact BEAS.Webmaster@maine.gov to request the password.