This form is being used to gather vital information from tribal community members to coordinate an efficient PPE needs response effort during the Covid-19 crisis.

We are requesting that interested individuals and organizations enter their needs on this form so that we can manage logistics and delivery of available items to your area. If possible, we would prefer to have tribal government, or leadership fill out this form, Chief Medical Officers, IHS, etc. If this is not possible and you are a tribal member, please fill out as you are able.