Supply Request Form (El Dorado County, California)
Fill out this form to request supplies or PPE for yourself or your organization.
Email address *
Name *
Best way to contact you *
If you put down a phone number, is texting okay? *
Please describe the supplies and/or PPE are you requesting
Is this request on behalf of an organization?
Clear selection
If you answered yes, which organization?
Please be as specific as you can so we can determine if a request has already been made on your department's behalf.
Additional information
Is there anything else we should know?
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