PROVIDER RESPONSIBILITIES BEFORE SUBMITTING FOR PPE
Demonstrated implementation of conservation/life extension strategies as identified by the CDC
Exhausted all means of commercial procurement prior to submitting this request.
Exhausted community assistance options, including coordination with local partners and facilities for reallocation within regions.
Provided PPE Daily Burn Rate
By submitting this form, I attest, to the best of my knowledge, that my agency/facility has met the Provider Responsibilities above before submitting for PPE from the State-sourced cache and that the information herein is true, correct and complete.