PERSONAL PROTECTION EQUIPMENT REQUEST
NOTE: PLEASE SUBMIT THIS FORM ONLY 1 TIME. ESSENTIAL WORKERS WILL HAVE PRIORITY OVER PERSONAL REQUESTS.
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FabLab and ZEVA members all over the Puget Sound are teaming up with 2 surgeons to provide masks to medical workers using their 3D printers to print the masks as well as a plurality of printers at FabLab Tacoma. If you are interested in receiving a mask and you are an essential worker needing the mask for work we ask that you please complete the form and you will be contacted in order by priority.
Personal info
Please enter your contact information below.
Name (First, Last) *
Contact Address
Email address *
Phone Number *
Reason for Mask *
Name of Facility/Organization the Request is for:
Point of Contact Name and Phone # (If Different from Above)
Point of Contact Professional Title
PPE Request Type *
Quantity Requested
Priority *
Low
High
Disclaimer
LEGAL DISCLAIMER: The 3D printed mask information presented here is intended to assist the general public during the current global pandemic related to COVID-19 and the related nationwide shortage of personal protective equipment. Please be aware that this mask design is not intended to replace standard protective equipment such as N-95 masks or surgical masks when that equipment is available. The use of these 3D printed masks has not been fully tested and has not been approved by federal or state authorities. FabLab Tacoma or anyone associated with http://fablabeducation.org/MASKS, assume no liability and make no representations, warranties, or guarantees regarding the safety, efficacy, or appropriate use of these masks in any particular situation. Each facility should test each batch of masks prior to relying on them for protection. Use of this information for any purpose is at the maker’s and the user’s own risk.
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