2022 Non-Emergency Resource Request ONLY. This is not for PPE related to COVID. For healthcare supplies, masks and hand sanitizer visit https://suffolkcountyny.gov/Departments/FRES.

Suffolk County Dept./Agencies - including Fire, EMS, EMO and Law Enforcement Name

Name

Address/Location

City/Town

Primary Email Address - will be secondary communication

Phone # is required. We prefer "CELL" Phone Number - JUST 10 DIGIT ########## NO ( ) _ - . Text will be primary messaging.

Public Training Event

Emergency Preparedness Preparedness/ Prevention Outreach (Hurricane, Smart911)

Resource Deployment

Recruitment/Retention Event (Ex. Open House)

Other (please specify)

Name

Address

City/Town

Phone Number for Local Point of Contact

Date / Start Time for Event

Date

Time

AM/PM

Date/ End Time for Event

Date

Time

AM/PM

Date/ Set Up Time for Event

Date

Time

AM/PM