Personal Protective Equipment (PPE) Donation Form
Please note: It is okay if your face masks are opened/unsealed as long as they have not been used. Please wash your hands with soap for 20 seconds and/or use disposable gloves to place your unsealed items in a clean Ziploc-style bag for pick-up. Put a note in the bag that includes: (1) a statement verifying that the masks have not been used, (2) the date the bag was packed/sealed, and (3) any details you have about the make/model and expiration date (if possible).

Because of the volume of donors, we are now asking people who are low risk based on CDC guidance* to drop off their items. We will provide you with the drop off location after you complete this form.

* https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html
Email address *
Your Name *
Your answer
Type of PPE to donate
Please note: Respirators in the N95 class may contain one of the following labels: N95, Surgical N95, N99, N100, R95, P95, P99, P100, FFP2, FFP3, KN95.
I can donate: *
Required
Information for Pick Up
Please note: You will be asked to place your items at your doorstep so a volunteer can pick up your donation and maintain 6 feet of social distance.

If you are donating opened/unsealed masks, please do the following: wash your hands with soap for 20 seconds and/or use disposable gloves to place your unsealed items in a clean Ziploc-style bag for pick-up. Put a note in the bag that includes: (1) a statement verifying that the masks have not been used, (2) the date the bag was packed/sealed, and (3) any details you have about the make/model and expiration date (if possible).
Address *
Your answer
Phone Number (so we can tell you when a volunteer has arrived) *
Your answer
Anything else we should know?
Your answer
A copy of your responses will be emailed to the address you provided.
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