University Hospital - PPE Donation Form
The University of South Alabama community is working hard to ensure that we continue to provide the best care to those who need it. In this extraordinary time, supplies are needed for our frontline healthcare staff.
Donations of critical supplies are being accepted including protective equipment and sanitizing items.
• We cannot accept any other supplies at this time and must keep storage space at our donation sites available for the items on this form.
• 𝐇𝐨𝐦𝐞𝐦𝐚𝐝𝐞 𝐨𝐫 𝐟𝐚𝐛𝐫𝐢𝐜 𝐦𝐚𝐬𝐤𝐬 𝐚𝐧𝐝 𝐠𝐨𝐰𝐧𝐬 𝐜𝐚𝐧𝐧𝐨𝐭 𝐛𝐞 𝐚𝐜𝐜𝐞𝐩𝐭𝐞𝐝 𝐚𝐭 𝐭𝐡𝐢𝐬 𝐭𝐢𝐦𝐞. 𝐘𝐨𝐮 𝐦𝐚𝐲 𝐰𝐚𝐧𝐭 𝐭𝐨 𝐜𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐟𝐢𝐫𝐬𝐭 𝐫𝐞𝐬𝐩𝐨𝐧𝐝𝐞𝐫𝐬 𝐨𝐫 𝐨𝐭𝐡𝐞𝐫 𝐠𝐫𝐨𝐮𝐩𝐬 𝐰𝐡𝐢𝐜𝐡 𝐦𝐚𝐲 𝐡𝐚𝐯𝐞 𝐧𝐞𝐞𝐝 𝐟𝐨𝐫 𝐭𝐡𝐢𝐬 𝐝𝐨𝐧𝐚𝐭𝐢𝐨𝐧.
• All donated items will be sent to and used by healthcare personnel at University Hospital, Children and Women’s Hospital, and the Mitchell Cancer Institute.
• All donations must be in original and unopened packaging.
Please complete and submit the form below 𝐟𝐨𝐫 𝐚𝐧𝐲 𝐢𝐭𝐞𝐦𝐬 𝐲𝐨𝐮 𝐰𝐨𝐮𝐥𝐝 𝐥𝐢𝐤𝐞 𝐭𝐨 𝐝𝐨𝐧𝐚𝐭𝐞 𝐟𝐫𝐨𝐦 𝐀𝐩𝐫𝐢𝐥 𝟏, 𝟐𝟎𝟐𝟎 𝐚𝐧𝐝 𝐛𝐞𝐲𝐨𝐧𝐝. Items detailed on the form will be reviewed by Health System personnel. If the items are determined useful at the current time, instructions about drop off will be sent to the individual listed in the contact information.
Were these donations purchased with a federally-sponsored award?
If funding was provided by a non-federal sponsor, do you have authorization to donate these items?
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