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Belmont Helps Mask Drive - Mask Request Form
Thank you for for your interest in the Belmont Helps Mask Drive. Please provide your contact information below, and select whether you are requesting masks or would like to volunteer to help with the mask drive.
By signing up, you give the Belmont Helps moderators permission to share your personal information on a need-to-know basis with the Mask Drive Coordinator and other volunteers. We will try our best to accommodate each request, but please know there is no guarantee. Due to the large number of requests, we are only able to provide masks for Belmont residents and businesses.
**Please note, these are fabric masks that are homemade, not disposable masks**
As of 10/1/2020, Belmont Helps will be filling mask requests on a monthly basis. If you have urgent masks needs, please submit this form AND email
with the subject "Urgent Mask Request" and a brief explanation of your mask needs or call 617.993.0162.
For our local COVID-19 Belmont resource guide, visit
or call 617.993.0162.
IF YOU HAVE MEDICAL-GRADE MASKS, INCLUDING N95 OR SURGICAL MASKS, PLEASE DONATE THEM TO YOUR LOCAL HEALTH CARE FACILITIES OR TO THE BELMONT FIRE DEPARTMENT AT 299 TRAPELO RD.
Please select your preferred method of communication (email is easiest for us)
All of the above
Please check all of the following that applies:
I am under quarantine
A member of my household is quarantined
No one in our household is currently under quarantine
I am under self-quarantine due to possible exposure
I am at-risk (older adult, pregnant, etc.)
Please indicate your interest below:
I am requesting masks
I am interested in volunteering to help with masks
I am interested in volunteering and am also requesting masks
I am requesting additional mask supplies (CURRENT VOLUNTEERS ONLY)
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