Requisition Supplies/Materials Form
  • Requisition of Equipment Form

    Lions of MD20 Alert Foundation
  • MD-20 ALERT Foundation

    How to Use the Inventory and Requisition form

    1. The Alert program is an MD-20 Lions and Lions Clubs International Foundation funded emergency response program.
      As such, only requests for supplies and equipment from a Lions Club(s) will be honored.
    2. Most items are consumables and we do not expect their return after use.

    Exceptions: Utility trailer(s)
    Generators
    Dehumidifiers
    Shop Vacs
    Emergency lighting
    Power strips
    HD Extension cords
    USB Chargers

    3. To request supplies and/or equipment:

    Complete the Requisition form with items and quantities requested
    Scan and e-mail to: Lion Rick Brisee rbrisee@hotmail.com

    • The Alert Committee will do everything possible to have requested
      equipment and supplies available within 24-hours of such requests
    • Equipment and supplies will be loaded onto an Alert utility trailer for
      pick-up by the requesting Club. Trailers will be expected to be
      returned in the same condition as delivered. Equipment will be
      expected to be returned in working condition with expected wear
      and tear after use.
    • Clubs are responsible for knowing where and to whom equipment
      and supplies were loaned or are located and will be responsible for
      seeing that those items are returned in working order.
    • Clubs may be held financially responsible for items that are not
      returned or are returned with discernable damage or in non-working
      condition.

    4. The newest utility trailer (14 ft) is equipped with both electric brakes and surge brakes and is designed to be pulled by a mid-size SUV (Jeep Cherokee, etc) or pick-up (F-250, Chevy Silverado, etc) and is rated with a GVW of 4,000#.

  • Date Required*
     - -
  •  -
  • Equipment*

    Categories:All
    All
    prevnext( X )
    Mini Frig 1.8 cf. Please enter a short description.



    Tarps. Please enter a short description.



    Duct Tape. Please enter a short description.



    Shovel - Long handle w/ pointed tip. Please enter a short description.



    Shovel - Long handle w/ flat end. Please enter a short description.



    Shovel - Poly scoop. Please enter a short description.



    Thatch Rake. Please enter a short description.



    Sidewalk/Floor Scraper. Please enter a short description.



    Garbage Bags. Please enter a short description.



    Spic-n-Span packets. Please enter a short description.



    Floor squeegees w/telescoping handle. Please enter a short description.



    Brooms - porch. Please enter a short description.



    Brooms - push. Please enter a short description.



    Foggers 2.5 Gal Cordless Hand held. Please enter a short description.



    Cleaning Wipes 80 Count. Please enter a short description.



    Cleaning Wipes 300 Count. Please enter a short description.



    Large General Purpose Sponges. Please enter a short description.



    RMR-141 Disinfectant for Mold Remediation. 12 pak



    Small General Purpose Sponges. Please enter a short description.



    2-Way radios. Please enter a short description.



    Stock pots. Please enter a short description.



    Power strips. Please enter a short description.



    Extension Cords. Please enter a short description.



    Power chargers include USB ports. Please enter a short description.



    Floor fans. 20"



    Dehumidifier-30 Pint. Please enter a short description.



    Dehumidifier-50 Pint. Please enter a short description.



    Shop Vac wet/dry. Please enter a short description.



    Ceramic portable heaters. Please enter a short description.



    Hand sanitizer - 2 oz tubes. Please enter a short description.



    Emergency lights, handheld. Please enter a short description.



    Flashlights. Please enter a short description.



    Flashlights kids handheld. Please enter a short description.



    LED Camping lights. Please enter a short description.



    LED light bar. Please enter a short description.



    Emergency lighting, rechargeable. Please enter a short description.



    Flashlights individual pak. Please enter a short description.



    Gas cans. Please enter a short description.



    Generator-gas-4000W. Please enter a short description.



    Generator-gas-7000W. Please enter a short description.



    Generator-gas-11,000W. Please enter a short description.



    Generator-dual fuel-10.500W. Please enter a short description.



    Protective Eyewear. Please enter a short description.



    Hard hats. Please enter a short description.



    Safety vest XL. Please enter a short description.



    Safety vest Med/Lg. Please enter a short description.



    Power grip work gloves Med & LG. Please enter a short description.



    Power grip work gloves Large. Please enter a short description.



    Leather palm work gloves. one-size-fits-all



    4-Ply Emergency reuseable wipes. box of 100



    Neoprene Gloves q/knit wrist-black. Please enter a short description.



    Bungee cords. Please enter a short description.



    10' Carbuckle tie-downs. Please enter a short description.



    16' Cargo tie-downs. Please enter a short description.



    10" Mini-bungees. Please enter a short description.



    Disposable Goggles. Please enter a short description.



    Gloves Bitrile Green-Med. Please enter a short description.



    15 Mil Green Nitrile Gloves Med. Please enter a short description.



    15 Mil Green Nitrile Gloves Large. Please enter a short description.



    15 mil Green nitrile gloves Lg & XL. Please enter a short description.



    3M Half-face Respirator. Please enter a short description.



    3M N95 Dispos. Face Masks. Please enter a short description.



    Assembly tents. Please enter a short description.



    Pop-up Dome shelter w/Lions logo. Please enter a short description.



    6-Person Dome Tent. Please enter a short description.



    Self-inflating sleeping pads. Please enter a short description.



    Pillows. Please enter a short description.



    Blankets Blue fleece 54"x72". Please enter a short description.



    Camp blankets. Please enter a short description.



    Storage Containers w/o Lids. Please enter a short description.



    FEMA 2.5 Gal Inflatable Water Bags. Please enter a short description.



    Moisture Absorbers. Please enter a short description.



  • LIONS of MD-20 ALERT FOUNDATION

    Hold Harmless Agreement: Borrower and recipient Lions Club agrees to and shall
    hold the MD-20 Lions Alert Foundation (The Foundation), its officer and Board, and any and all auxiliary and related entities harmless from any liability or claims for personal injury, including death, as well as any and all claims for property damage which may arise from the use of any and all supplies and equipment provided by The Foundation and which may arise from the use by any agent, sub-agent, contractor, independent operator, or recipient of said items.


    Borrower and recipient Lions Clubs shall agree to and shall defend its elected and appointed Boards, officers, agents and employees from any actions and suits at law or in equity for any damage caused or alleged to have occurred resulting from use or acceptance of said property or equipment.

  •   
  • Should be Empty: