Returning to Site - Supplies Needed
Please provide as much lead time as possible due to supply availability.
Academic School or Department, Requester Name, Phone Number and Email Address
Laboratory Name (If Applicable)
Name of Building Manager or Assistant Dean, Phone Number and Email Address
Name of PI or Faculty Member in Charge, Phone Number
Location Where Supplies Will Be Used (Building and Room Number)
Number of Employees Returning
Items Needed (Check All Boxes That Apply)
Disposable Vinyl Gloves (for use with disinfectant spray)
Face Coverings (washable)
Hand Sanitizer Bottles (sanitizer dispensers not currently available)
Disinfectant Wipes (for areas with shared computers or other equipment)
Do you or anyone in your unit have a latex allergy?
Size of Disposable Vinyl Gloves Preferred
M and XL
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