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NC COVID-19 »   Home

COVID-19 Procurement Form

North Carolina needs companies and manufacturers that can produce and provide critical supplies to respond to the COVID-19 pandemic. 

If you or your company can sell or donate Personal Protective Equipment (PPE) or other critical supplies to NC, please complete the form below. All required fields must be completed in order to be considered for a procurement.

Proof of certifications must be provided for regulated supplies. FDA/CE/NIOSH certifications must be provided without redaction. We understand that manufacturers that have not traditionally made medical supplies and are repurposing their facilities may not have required certifications. If you are a repurposing manufacturer, complete as much information as you can.

Brokers must provide written confirmation from the manufacturer confirming supply and delivery, as well as an official quote on letterhead.

It is required that you review the PPE Specifications Document prior to completing the COVID-19 Procurement Form.

Thank you for supporting North Carolina.

  • Current Acknowledgement
  • PPE Information
  • Complete
Indicates required field

I have clicked the document link titled "PPE Specifications Document" and reviewed its content. I will provide copies of all required certifications for Personal Protective Equipment (PPE) being offered for sale to the State of North Carolina.

Powered Air-Purifying Respirators
$
Are you ready to ship?
Goggles
$
Are you ready to ship?
Safety Glasses
$
Are you ready to ship?
Face Shields
$
Are you ready to ship?
Nitrile Examination/Medical Gloves
$
Are you ready to ship?
Nitrile Non-medical Gloves
$
Are you ready to ship?
Coveralls
$
Are you ready to ship?
Gowns (Isolation or Surgical)
$
Are you ready to ship?
Hand Sanitizer
$
Are you ready to ship?
Disinfecting Spray & Wipes
$
Are you ready to ship?
Invasive Ventilators
$
Are you ready to ship?
Other

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Contact Information

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000
Customer Service Center: 1-800-662-7030
For COVID-19 questions call 1-888-675-4567

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https://covid19.ncdhhs.gov/procurement-form