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  1. COVID-19 Emergency Resource Requests
  2. PPE and Medical Supplies Request Form

PPE and Medical Supplies Request Form

Please use this form to request 14-21 days’ worth of supplies for your facility. These orders will be transmitted to the state and filled to the extent possible. Once an order is filled, even partially, or if we are unable to fill your order, we will contact you and close the request for the week. You will need to resubmit a request for any unfulfilled orders.

See what supplies are currently on the request list

If you are requesting supplies for a school, click here to see a list of supplies available to your school. Please do not request supplies other than what is listed.

For items not on the list, please submit an RR213 form

This form is for facilities and agencies within King County only

This form is adapted from FEMA’s 213RR

Fields with an asterisk (*) and outlined in red are required.

If you're completing a request on behalf of another facility, please enter that facility's name, not your own.

If you're completing a request on behalf of another facility, please select that facility's type, not your own.

Requester Information

Format: 555-555-5555 An extension after the number is allowed.

Delivery contact and location information

Information about to whom and where to deliver an order.

King County will not deliver supplies to a private residence. All delivery address must be a facility or business address.

Format: 555-555-5555 An extension after the number is allowed.

(Address, GPS coordinates, important notes, etc.)

Request supplies

You can request up to 20 items with this form. If you need more, please complete another form.

If requesting items not in drop down, please complete the 213 form and email to rcecc.logs@kingcounty.gov.

IMPORTANT: You must fill in the total number of individual units you want.

This must be a number.

NOTE: If you are a public health agency, please detail what you're requesting PPE for.

By submitting this request, your organization/agency is acknowledging willingness to pay for the assistance. If you have questions about funding, please email rcecc.finance@kingcounty.gov

King County Emergency Management

3511 NE Second St.
Renton, WA 98056

Get directions

ecc.kc@kingcounty.gov

206-296-3830
Toll Free 1-800-523-5044

TTY Relay 711

King County Emergency News