Personal Protective Equipment (PPE) Request Form



Please note we are unable to fulfill new PPE requests unless the facility has a RED or BLACK PPE status (facility’s current stock reaches 7 days or fewer in EMResource), or for  instances when life safety is a direct threat.
Those seeking PPE can review the Indiana PPE Directory for items needed. The Indiana PPE Directory features Indiana companies that manufacture and distribute a variety of PPE items available for purchase.
·        All vendors featured in the directory have been vetted by the Indiana Economic Development Corporation (IEDC) and are required to be headquartered or incorporated in Indiana, to provide free shipping to Indiana businesses, and to abide by additional requirements (see FAQs for specifics). The Indiana PPE Directory is organized by item and connects customers to a list of vendors that provide those specific items. Customers place and pay for orders on the vendors’ website, and each vendor handles its own shipping, payment processing and customer service.

Back on Track PPE Directory

·        Because N95 respirators are such a scarce resource, MCPHD reminds health care providers of ISDH’s partnership with the Battelle Memorial Institute giving Indiana healthcare providers access to the Battelle Critical Care Decontamination System (CCDS) for decontaminating N95 respirators—visit for details and instructions for enrolling in the system. 
·        If you do not have an EMResource account, submit a new account request to Eric Shelley Once you have access to EMResource, your facility needs to update their status daily. This information is critically important for tracking PPE needs. EMResource is a web-based information and resource management tool that optimizes real-time communication to enhance response to daily medical emergencies. The data imputed into this system will provide ISDH and health care coalitions with up-to-date data on capacity and needs.
§  New Account Request
Include your Facility, Name, Title, Email and Phone Number to:
Eric Shelley (