Mask Request Form
You must submit this form to request masks. Once you have submitted a request for masks based on your campus location, HSC Student Affairs or OU-Tulsa Student Affairs will send a follow-up email regarding any questions or pick-up information. Please be prepared to identify the individual who will be picking up any approved supply. The pick-up person will be asked to show ID.  
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Email *
Name *
Telephone Number of Requestor *
Department/College of Requestor *
Campus Location (if you are submitting for more than one site, please fill out another form.) *
Number of Masks Needed For 1 Week *
Staff/Faculty *
Required
Name of pick-up person *
email address of pick-up person *
Phone number/extension of pick-up person *
Date needed by *
Date
A copy of your responses will be emailed to the address you provided.
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