Requests

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Help us by completing this survey

This is where you create and edit your live request of products. How to use:

• Specify your requests for each relevant item
• All requests should have Quantity, Required Date and Expiration Date
• Specify a location where it is needed and desired price per unit
• Use “Notes” field to list specific requirements
• Check “Donation Required” box if applicable
• Remove requests that have been satisfied or are no longer relevant by selecting zero quantity
• Please tell us about your experience by filling in last two columns

	Quantity *	Required Date *	Expiration Date *	Price per Unit $	Location (City/Area)	Notes	Donation Required	Tell us about your CovidPPEHelp transactions
								Total # of purchases to date	Supplier name(s)
Barriers and Guards
Plexiglass Barriers
Sneeze and Counter Guards
Booties
Knee High
Shoe Cover
Eye Protection
Eye Goggles
Face Shield Certified
Face Shield Non-certfied
Protective Eye Glasses
Facemask
Adult disposable Certified
Adult disposable Non-certfied
Adult reusable Non-certfied
N95 3M
N95 Moldex
N95 Other- non-certified
N95 Other-certified
Pediatric Disposable Certified
Pediatric Disposable Non-certfied
Pediatric Level 1 certified
Pediatric Level 2 certified
Pediatric Level 3 certified
Pediatric reusable Non-certfied
Pediatric w/Visor Level 1 certified
Pediatric w/Visor Level 2 certified
Pediatric w/Visor Level 3 certified
Surgical Adult Level 1 certified
Surgical Adult Level 2 certified
Surgical Adult Level 3 certified
Surgical Adult w/ Visor Level 1 certified
Surgical Adult w/ Visor Level 2 certified
Surgical Adult w/ Visor Level 3 certified
Gloves
Disposable
Reusable
Gowns
Isolation Certified
Level 1 Certified
Level 2 Certified
Level 3 Certified
Other Non-certfied
Hand Sanitizer
Antimicrobial hand soap
Disinfectant Wipes
Liquid >= 1L
Liquid 0-100ml
Liquid 101-999ml
Other Protective Equipment
Oximeters
Respirators
Thermometers
Surface Disinfectants and Cleaners
Bleach
Disinfectant cleaners
Disinfectant wipes
Sanitizing sprays

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