PPE Request

PPE Request

Requests should only be made by a department head or their designee. This request is only for items needed to conduct official university business and complete necessary work activities.
Unit/Office *
Requester's Email Address *
Manager Name Manager Name * First Last
Manager E-Mail Address *
Manager Mobile Phone Number Manager Mobile Phone Number * - ### - ### ####
Campus *
Campus Building and Office Number *
PPE Quantity Requests

Please enter the quantity of the PPE equipment you are requesting. If none are needed please leave the field blank.
Basic Office PPE Supply Kit (5 disposable masks, 1 can sanitizing spray, 1 bottle hand sanitizer, 1 package sanitizing wipes) Limit one per person.
Hand Sanitizer Bottles
No-Touch Thermometer (Limit 1 per department, per campus with limited exceptions)
Sanitizing Spray Can (16oz)
Disposable Gloves (Please indicate quantity and size)
Cloth Mask – White, Reusable
Sanitizing Wipes
Disposable Mask
UNG Branded Cloth Face Covering
Draw your signature into the box below. *

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Full Name

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Date Date * / MM / DD YYYY
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