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COVID-19 PPE & Supply Request
Name
*
First Name
*
Last Name
*
Email
*
Department/Office
*
This request requires approval by your Division Vice President. (Please select below.)
*
tanderson@whittier.edu
abarraza@whittier.edu
dhouser@whittier.edu
sjohnston@whittier.edu
cjoseph@whittier.edu
dmerinoc@whittier.edu
loubre@whittier.edu
Disposable Gloves (SM)
Staff responding to COVID-19 infections or exposures; food handling. Enter Quantity (Box = 100)
Disposable Gloves (MED)
Staff responding to COVID-19 infections or exposures; food handling. Enter Quantity (Box = 100)
Disposable Gloves (LG)
Staff responding to COVID-19 infections or exposures; food handling. Enter Quantity (Box = 100)
Disposable Gloves (X-LG)
Staff responding to COVID-19 infections or exposures; food handling. Enter Quantity (Box = 100)
Face Shield with Drape
Enter Quantity. Provide employee names & justification below.
Face Shield-Drape Only
Enter Quantity
Gown (One size)
Staff responding to COVID-19 infections or exposures. Enter Quantity (Box = ~20)
Masks-Adult (Disposable)
Enter Quantity (Box = ~50)
Masks-Child (Disposable)
Athletics, Broadoaks, Campus Safety, Health Center only. Enter Quantity (Box = ~50)
Masks-Adult (Medical grade)
Broadoaks, Campus Safety, Health Center, ResLife only. Enter Quantity (Box = ~50)
Masks-Child (Medical grade)
Broadoaks, Campus Safety, Health Center only. Enter Quantity (Box = ~50)
Masks-KN95
Enter Quantity. Indicate below if ordering for dept. or office.
Masks-N95
Enter Quantity. Indicate below if ordering for dept. or office.
Other: Please be specific, include quantity, and provide justification.
Notes or comments regarding this request
Division VP Approval
This Division request is
*
Approved
Approved with adjustments (enter in Comments)
Not approved
Comments/Notes
Budget Authorization - Chief Administrative Officer
The VP Chief Administrative Officer
*
Approves
Does not approve
Comments/Notes
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