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No Cost PPE Request Form for Small Businesses
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This form has been modified since it was saved. Please review all fields before submitting.
County of Nevada has no cost PPE available for all small businesses with 25 employees or less. To apply for hand sanitizer and masks, please complete one form per business. PPE is available while supplies last.
Tell us about your business.
Business Address Line 1
Address Line 2
Employer Identification Number (EIN)
Let us know where you would like to pick up your PPE.
8:30 am-5:00 pm | Monday-Friday | Nevada County Contractors Association |149 Crown Point Court, Suite A | Grass Valley, CA 95945
11:00 am-3:00 pm | Monday-Friday | Grass Valley Chambers of Commerce | 128 E Main St | Grass Valley, CA 95945
8:00 am to 8:00 pm | Monday-Friday | 9:00 AM to 7:00 PM Saturdays | ZAP Manufacturing | 12619 Charles Dr, Grass Valley, CA 95945
10:00 am-2:00 pm | Wednesday | Penn Valley Chamber of Commerce | 17422 Penn Valley Dr, Penn Valley, CA 95946
9:00 am-2:00 pm Tuesday-Friday, 11:00 am - 2:00 pm Saturday, Closed Sunday & Monday | Nevada City Chamber of Commerce | 132 Main St, Nevada City, CA 95959
How many employees do you have?
*IMPORTANT* BEFORE YOU SUBMIT
Please leave this box checked to receive your confirmation email. The email will originate from email@example.com. Print, or display this confirmation email when you pick up your PPE.
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