Online Donation Management

COVID-19 Donations Intake

Thank you for your interest in donating critical supplies that are needed due to the ongoing coronavirus situation. At this time, based on the most immediate needs, the State is only accepting donations of specific medical-related supplies that are new, unopened, and not expired. If you have items that meet this criteria, please complete the form below.

If you have items to donate that do not meet this criteria, you may want to check with local partners to see if they could benefit from the donation.

If there is a need to mobilize your donation, you will be contacted with further instructions. Please note that this may take several days. Thank you for generosity.

Contact Person

First Name Required

Last Name

Company/Organization Name (if applicable)

Contact Information

Street Address

Address Line 2

City Required

State

Zip/Postal Code

Email Required

Phone

Alternate Phone

Donation Information

Are you offering a donation on behalf of an organization?

Please provide a brief explanation of the type of donation or service you would like to offer.

What items do you have available to donate? (check all that apply) Required

N95 Respirators +
Face Masks/Surgical Masks +
Face Shield +
Surgical Gowns +
Thermometers +
Thermometer Covers (if applicable to type of thermometer) +
Gloves (nitrile, or non-latex) +
Hand Sanitizer +
Other Medical Related Items +
Other Medical Related Items (please specify)

Would you like to submit the following answers?

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