COVID-19 Health & Safety Purchase Log

COVID Health Safety Purchase Log

Please use this to log all COVID-19 related Health and Safety purchases. This includes PPE, training, tools, etc. that your department has had to buy as a result of COVID-19 infection prevention measures and your department's Social Distancing Plan.

Your Name*
First Last
Your Department*
Product/Service Purchased*
Reason for Purchase*
How is this product/service being used to keep our team safe during this pandemic?
Total Price*
Proof of Purchase*
Max. file size: 32 MB.
Please upload invoice, receipt or other proof of purchase.