Mask Request - Chicagoland and Western Suburbs
Please use this form to request a mask for yourself. Providing what is asked for on the form will allow us to quickly process your request. A mask maker will contact you to arrange porch pick-up. Please note the following:

- Please provide proof of your credentials and place of employment to chicagomaskmakers@gmail.com.

- Requests for 10+ masks require documentation so we can confirm the need.

- These masks are 100% cotton, lined with a non-woven material, they are not as effective as N95 masks.
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Email *
Name *
First and Last
Phone Number *
City of residence *
Are you a health care worker, first responder, school or daycare employee? *
What are your credentials and current place of employment (e.g., Custodian at CPS) *
You MUST include your credentials and place of work. All requests will be verified. To expedite the process, please send proof of your credentials and place of employment to chicagomaskmakers@gmail.com.
How Many Masks are you requesting *
If you are requesting for additional people. Requests for multiple masks require documentation so we can confirm the need. We will do our best to support you.
Do you prefer Adult - Elastic; Adult - Ties, or Child masks? (we will try to meet this request if possible) *
Other questions/comments
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