EOC – COVID-19 Essential Supplies Request Form

The University Facilities Management will work with Colleges and Departments to provide essential COVID-19 related supplies such as hand sanitizer, cloth face coverings, disposable surgical face masks, and plexiglass hygiene barriers.  Colleges and Departments should complete the information below to submit a request for these essential supplies instead of purchasing their own.

For delivery, provide detailed delivery location.  For pick-up, arrangements will need to be made to pick up orders at Central Supply located at Facilities Management Complex.

  • Requestor's Contact Information

  • Workplace Information

  • Please indicate the number of employees to be covered by this supplies request.
    Please enter a number greater than or equal to 0.
  • Please indicate the campus building name or off-campus address where supplies should be delivered, including floor and room number if applicable. If you prefer to pick up the supplies, please indicate "Pick up".
  • COVID-19 Essential Supplies Requests

  • The University will provide two (2) cloth face coverings per employee. Please indicate the total number of cloth face coverings needed. Cloth face coverings should be worn when social distancing is not possible.
    Please enter a number greater than or equal to 0.
  • Surgical face masks are for employees that forgot their cloth masks and for students / customers / parents that do not have one if one is required. Each box contains fifty (50) surgical face masks.
    Please enter a number greater than or equal to 0.
  • Plexiglass hygiene barriers are for point of contact / front desk type locations only. The barriers are desktop units measuring 36" wide x 30" tall.
    Please enter a number greater than or equal to 0.
  • These are spot markers to indicate 6 feet of separation for queue lines.
    Please enter a number greater than or equal to 0.
  • These are markers to indicate direction of travel through narrow spaces such as aisles.
    Please enter a number greater than or equal to 0.
  • Individual 8 ounce bottles of hand sanitizer.
    Please enter a number greater than or equal to 0.
  • Large 64 ounce bottles of hand sanitizer.
    Please enter a number greater than or equal to 0.
  • Canisters contain 160 disinfectant wipes each.
    Please enter a number greater than or equal to 0.
  • Box of disposable gloves, size small.
    Please enter a number greater than or equal to 0.
  • Box of disposable gloves, size medium.
    Please enter a number greater than or equal to 0.
  • Box of disposable gloves, size large.
    Please enter a number greater than or equal to 0.
  • Box of disposable gloves, size extra large.
    Please enter a number greater than or equal to 0.
  • A clear plastic face shield.
    Please enter a number greater than or equal to 0.
  • Each kit contains a personal-size bottle of hand sanitizer, cardholder for mobile phone and touchless door opener. The University will provide one (1) kit per employee.
    Please enter a number greater than or equal to 0.
  • Please detail any other supply requests needed here.
  • This field is for validation purposes and should be left unchanged.