DMV Fighting COVID - 3D Printed Personal Protective Equipment (PPE) Request Form
Please fill out the form below to inform us of your PPE needs for your organization.
Name of organization: *
Location of organization: *
Point of contact: *
Email address: *
Confirm email address: *
Phone number: *
What type of 3D printed PPE do you need? How many units of each type of PPE do you need? *
Do you require any particular specifications for 3D printed PPE? Are there any special procedures to be followed? *
We are currently counting on organizations to sanitize the face shields and door openers after final delivery. Is this acceptable for your organization? *
Are you in need of other PPE? If so, what are your other needs? *
Additional questions, comments, and/or requests:
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