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Emergency Supply Request - COVID-19 Masks
Emergency Supply Request - COVID-19 Masks
You must have JavaScript enabled to use this form.
Information about this request
This form is to request ASTM F2100 Level 1 rated procedure masks, which comply with the requirements for surgical masks referenced in
Penn's updated masking requirements (January 2022)
.
After you submit your request, you can pick up your order from the EHRS office
Monday through Friday between the hours of 11 am and 2 pm.
Please come to the EHRS Office at 3160 Chestnut Street, Suite 400 for supply pick-up. Ring the bell to be buzzed inside. If you need assistance with locating our office, please call 215-898-4453.
Please ask a colleague from your group to pick up the supplies on your behalf if you are unavailable during the specified pick-up time.
You will receive a confirmation email with a copy of this information.
Quantity
How many packs are you requesting? (each pack contains 50 masks)
Contact Information
Contact Name (first and last)
Contact Email
Phone Number
Lab Group Name
?
School
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PSOM (med)
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