Staff PPE Order Request

Cowichan Tribes

PPE Order Request Form

Date of Order Request Required

Americas/Vancouver

Department: Required

Name and Title Required

Phone Number or Extension Required

Email Address Required

PPE Requests

By item
Item use details: For each item requested, please let us know application of use. (Example: The main reception needs hand sanitizer for when personnel enter the building)
Amount Requested

Note: Please keep empty sanitizer bottles to be refilled

Item #1

Item use details:

Quanitity needed:

Item #2

Item use description:

Quantity needed: