PPE Request Form

Personal Protection Equipment Request Form

The Wyoming County Office of Emergency Management has a provided a limited amount of free KN95 masks, COVID test kits, and hand sanitizer available on a first-come, first-serve basis as supplies last. 

Please fill out the form below and click the submit button. You may also call (585) 786-0307. You will be notified by email when and where the supplies will be available for pick-up.  


Please indicate items needed and desired quantities below.