Personal protection equipment supplies requisition form

This form is to be used by faculty, staff, and students in the Department of Kinesiology and Health Sciences to request personal protection equipment (PPE) and cleaning supplies.  We are unable to accommodate cash sales and requests by other departments.  

Supplies will be dispensed and delivered directly to the room number specified on this form.  

Please indicate which items from the Kinesiology and Health Sciences personal protection equipment supplies catalogue are required.  You will be notified by email if a requested item is not currently in stock.  

Please indicate your full name (first and last).
Designation
Please indicate the faculty member's name if this form is being submitted by a student/visitor, or by a staff member on behalf of a research lab. Faculty may indicate "self".
Please specify the lab location for delivery. i.e. BMH/LHS/AHS xxxx
Item required
Item required 2
Item required 3
Item required 4
Item required 5
Item required 6
Item required 7
Work order
Please indicate the work order the item(s) should be allocated to. If your supervisor needs to authorize this purchase, or the work order is not listed please choose "other" and provide details. The order will not be dispensed until a work order and/or authorization is confirmed.