The Governor and State administration are planning COVID 19 response. They are trying to gauge the capabilities of the local and regional supply chain so as to address critical needs as quickly as possible. Your response is important. 

Question Title

* 1. Your Name

Question Title

* 2. Your Company

Question Title

* 3. Please check all of these finished products you are currently producing or have the capability to produce:

Question Title

* 4. Please check all items for which you currently produce, or have the capacity to produce, inputs:

Question Title

* 5. If you are producing inputs, please specify where in the supply chain your production falls:

Question Title

* 6. If you are producing inputs, please specify the end product they are part of.

Question Title

* 7. Please share capabilities or products you manufacture or source that might be needed for the COVID 19 response.

Question Title

* 8. Please specify the name, title, email and phone for a point of contact if we have further questions about your capabilities.

T