The State of Kansas is releasing a supply of Personal Protective Equipment (PPE) to Johnson County for distribution to businesses and organizations within Johnson County. We are requesting that organizations assess their own needs and determine an appropriate 90-day supply of PPE for employees and volunteers. Please complete this survey to indicate your organization's needs.

Please read the following prior to completing this form:
  • TIMING: After submitting this form you will receive communication within one week regarding the status of your request.  Requests are currently being filled within one to two weeks but it may take longer depending on the volume of requests. 
  • PICK-UP: Due to the large amount of supplies being provided and number of organizations being served, recipients will be asked to pick-up supplies at a distribution location in Johnson County.  Information about where and when supplies can be picked up will be provided to organizations once the order is ready.
  • ALLOCATION: The PPE is being provided to slow the spread of COVID-19 throughout our community and will be distributed in a manner which prioritizes public health. Despite the hope to fill as many requests as possible, no guarantee is made that any particular request will be fulfilled, due to limited supplies and because we are dependent on others for receiving these supplies.
  • UTILIZATION OF PPE: The supplies being requested through this survey must be used by the organization requesting them for the purpose of protecting employees and volunteers in the performance of their organization’s essential functions. These supplies are for use in Johnson County, Kansas, and cannot be distributed further, sold, nor can anyone be charged for their use. 
  • CONSOLIDATION OF ORDERS: To speed up the distribution for everyone, Johnson County is asking organizations to consolidate orders of multiple organizations/entities whenever possible. If organizations can coordinate with like/associated groups to collectively submit a request and coordinate a single pick-up when supplies are ready, it would be greatly appreciated.
  • ORGANIZATIONS WITH MULTIPLE LOCATIONS: Organizations with multiple locations in Johnson County will be required to consolidate orders and submit one request per organization.

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* Organization

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* Organization Point of Contact

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* How many employees does your organization have? 
(If you are consolidating requests for multiple organizations or facilities, please include the total number of employees for all organizations)

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* Does your organization have multiple facilities in Johnson County?

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* Are you submitting information for multiple organizations?

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