Form Center

The county’s Online Form Center allows you to electronically submit and/or print requests for information and other forms. They are organized based on the agency that supports the service. If you experience difficulty finding the information you are looking for, please use the search feature below.
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COVID-19 Emergency Medical Material Request (EMMR) Form

Steps

  1. 1. SECTION 1: Facility Information
  2. 2. SECTION 2: Personal Protective Equipment Request
  • SECTION 1: Facility Information

    1. Emergency Medical Materials Request Form

      Thank you for your ongoing support for the community. Please complete the following form to request Personal Protective Equipment for your Facility.

      If you have any questions please email us at CountyEOC@co.pg.md.us and/or kmstinchcomb@co.pg.md.us. A member of our distribution team will get back to you with any questions or to arrange pick-up. Please allow 3 business days for our response.

    2. fill in the box above.