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Provider and Individual Personal Protective Equipment (PPE) Request Forms

To continue supporting our community, TCRC’s PPE delivery partner R&D is streamlining the way they process PPE Request Forms effective Monday, March 15. For those who have requested PPE before, the forms look a little different, but the way you request PPE remains the same. Please see the instructions below to request PPE from TCRC.

INDIVIDUAL CLIENT REQUEST FOR PPE:
TCRC continues to work with The Department of Developmental Services (DDS) and The State Council on Developmental Disabilities (SCDD) to obtain and distribute PPE to the TCRC community in support of persons served by the Regional Center. We will distribute PPE based on need to individuals served by the Regional Center through our network of transportation providers. If you are in need of PPE including face masks, hand sanitizer, and gloves, please use this link:

Individual Request for PPE (in English)
Individual Request for PPE (En español)

R&D Transportation will reach out to you on behalf of the Regional Center to schedule delivery of these items to your address. You may request additional deliveries, but must submit the form again.

If you or someone in your household is confirmed positive for COVID-19 or is waiting on COVID test results, please indicate that on this form and additional PPE supplies may be available. Please keep in mind that these materials will be delivered as supplies last and we cannot guarantee we will be able to fill your full request.

SERVICE PROVIDER REQUEST FOR PPE:
TCRC continues to work with DDS and SCDD to obtain and distribute PPE to the TCRC service provider community in support of persons served by the Regional Center. We will distribute PPE based on need to residential service providers vendored by the Regional Center. If you are in need of PPE including face masks, hand sanitizer, and gloves, please use this link: Service Provider Request for PPE R&D Transportation will reach out to you on behalf of the Regional Center to schedule delivery of these items to your address. You may request additional deliveries, but must submit the form again.

If someone you support is confirmed positive for COVID-19 or is waiting on COVID test results, please indicate that on this form and additional PPE supplies such as gowns, and face shields