Cloth Face Mask Request Form
In compliance with state guidelines upon request, UCLA will provide cloth face coverings regardless of vaccine status.
Cloth Face Masks (3-Pack, 1 UCLA Branded + 2 Unbranded)
Request this pack by clicking here:
and selecting "Cloth Face Covering Pickup."
*This Google Form will no longer be used for requests.
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to save your progress.
This form was created inside of Google Apps for UCLA.