PPE + Reopening Supplies Marketplace Intake Form
Welcome to the intake form for the PPE + Reopening Supplies Marketplace. The City of New York is providing this list of suppliers to offer a one-stop shop to feature products that can aid in the re-opening efforts of our business community. After successfully completing this form and confirming that your product is aligned to local (non-medical) business needs, your information will be added to a public online registry for companies in need of PPE and re-opening supplies/products. Please allow up to 3-4 days to see your information listed on the registry if your products meet the criteria.
Note that there are different sections for each of the following types of products: (i) face masks and coverings, (ii) face shields, (iii) gloves, (iv) cleaning and disinfectant products, (v) physical enhancements and portable furniture, and (vi) Other (e.g. goggles, thermometers). Please fill out all the sections that apply to your business.
What is your business name?
What is the contact name for making any purchases?
What is the number to call for making purchases?
What is the email for making purchases?
What is the website that features your products?
Please write in link to your company logo:
Is your business a?
Small-business (under 20 employees)
What do you consider yourself?
Please confirm you have a business EIN
What are you selling (or renting)?
Face masks and coverings (e.g. cloth face masks/coverings, surgical masks, N95 respirators)
Cleaning and disinfectant products (e.g. sanitizer)
Physical enhancements and portable furniture (e.g. plastic shield walls, sneeze guards, physical barriers/partitions)
Other (e.g. goggles, gowns, aprons/smocks, air filters/ventilation systems, thermometers)
I'm selling more than one product
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