-
This request will be processed in accordance to campus guidelines for sanitation. You will be contacted for further information, on the decision and delivery details.
All requests submitted for approval to EHS and/or Facilities.
-
Campus Address you would like supplies to be delivered
-
-
-
-
-
-
-
-
Items being Requested
All costs of supplies will be processed through a central account held for COVID-19 related purchases. Departments at this time will not have to supply an account number for journal transfer.
-
What do you need to order?
you can select more than one option
Please select for this list, you may select more than one option.
-
Sanitizer, Disinfectant, Gloves
-
Department Kits
Please select below any replacement kits you would like. These kits are ordered in full, if you need less then full quantities please select from other selections below.
When we deliver these kits, we will pick up any empty containers that you might have, so that we can sanitize and reuse them.
-
Please choose the quantity of Full Kits you need
-
Please choose the quantity of Half Kits you need
-
Sanitizer
All sanitizers that are requested through this form are at least 60 percent alcohol based which is recommended by the CDC
-
Please choose the quantity of 2oz Hand sanitizer you need
-
Please choose the quantity of 8oz-12oz Hand sanitizer you need
-
Please choose the quantity of 16oz of NY Clean Sanitizing Spray you need
-
Please choose the quantity of 1 gallon of NY Clean Sanitizing Liquid you need for refilling 16 OZ bottles
-
Disinfectant Wipes
The disinfectant that will be used is an EPA-and DEC-registered labeled to be effective against rhinovirus and/or human coronavirus.
-
Please choose the quantity of Small containers of Disinfectant Wipes you need. These containers have approximately 20-60 wipes per container.
-
Please choose the quantity of Large containers of Disinfectant Wipes you need. These containers have approximately 110-160 wipes per container.
-
Please choose the quantity of wipes needed
-
Disinfectant Spray
The disinfectant that will be used is an EPA-and DEC-registered labeled to be effective against rhinovirus and/or human coronavirus.
-
Please choose the quantity of 32oz of Disinfectant Spray you need
-
Please give as much detail as possible including reason for the request.
-
Gloves ( Each box contains 90 to 100 gloves per Box)
All gloves are Latex free and made from Nitrile. .
-
Please choose the quantity boxes needed
-
Please choose the quantity boxes needed
-
Please choose the quantity boxes needed
-
Please choose the quantity boxes needed
-
Please give as much detail as possible including reason for the request.
-
Disposable Masks, Face Shield, N95
-
Please choose the quantity of Disposable Masks you need
-
Please choose the quantity of Face Shields you need
-
-
These are for ADA use only please select the quantity needed.
-
Please choose the quantity of Approved N95 Masks you need (You must be fit tested to wear - Please contact EHS before ordering)
-
Please choose the quantity of Approved N95 small Masks you need (You must be fit tested to wear - Please contact EHS before ordering)
-
Please give as much detail as possible including reason for the request.
-
Please give as much detail as possible including reason for the request.
-
Gowns and Thermometers
-
Please choose the quantity of Approved Gowns in cases of 50 you need (You must be an approved department for this)
-
Please choose the quantity of Thermometers you need
-
Please give as much detail as possible including reason for the request.
-
Different Items needed that are not listed in this form
( This section is only for items not listed in section "Items being requested" above. Please check boxes in that section to see all products available. )
If your department needs other items that are related to Personal Protective Equipment, disinfecting or sanitizing please follow the link below to a separate form to request items needed.
EHS and Facilities will contact you to discuss your request.
Click Here to Submit a Request for additional Items
-
Authorization
Please enter the name and e-mail of the person in Charge of the department that is authorizing this request.
-
-
-
-
Submit for Authorization
Please click the box below to send this form to the Head of your Department for approval. You will enter their email address the same as the one above.
If You are the department head please just hit continue to finish this process.
-
-
A unique link to resume this form will be sent to the email address entered here.
-