Supply Request Portal

The online supply request portal is the standard form for all stations and departments at Chatham Emergency Services. All requests will be reviewed by the personnel that oversee the station or department making the request, as well as the supplies coordinator. All requests must be submitted by 1600 on the 25th of each month, this site will be inaccessible after that date until the 1st of the next month.

Location Requesting Supplies *

Battalion *

Supplies for EMS or Fire? *

EMS

Fire

Date of Request *

Person Submitting Report *

Person Reporting Email - Optional

Cleaning Products

Blue Scrub Brush *

Bleach - Gallon *

Cleaner - Ajax *

Cleaner - Glass *

Cleaner - Oven *

Degreaser *

Furniture Polish *

Neutral Disinfectant *

NuHide Protectant *

Floor Cleaning

60" Threaded Handle *

Broom Head - Push *

Broom - Whisk *

Dust Pan *

Dust Mop Frame *

Dust Mop *

Dust Mop Handle *

Mop Handle *

Mop Head *

Floor Stripper *

Floor Finish/Wax *

Floor Cleaner - Pine *

Pumice Stones *

Fabuloso -1.64 Gal *

Swiffer Duster *

Bathroom Products

Toilet Brush *

Spray Disinfectant *

Toilet Paper Rolls *

Paper Towels - Hard *

Paper Towels - Tri Fold *

Trash Bags - Small *

Kitchen Products

Paper Towels - Soft *

Soap - Dish Washing *

Green Scrub Pads - Dish Washing *

Trash Bags - Large Black *

Dish Sponge *

Coffee *

Coffee Creamer *

Sugar *

Truck Maintenance & Care

Soft Brush Head - Truck Washing *

10" Whisk Broom *

Soap - Truck Washing *

Steel Polish *

Stationary Supplies

Lined Writing Paper *

Inkjet Printer Paper *

Black Ink Pen *

Red Ink Pen *

Masking Tape *

Laundry Pods *

I acknowledge that I have checked the A/C Filters and will place an order in the "Additional Requests" section below. *

I Agree

I understand that each station should have 2 bags of Oil/Dry in stock and will order in the "Additional Requests" section if needed. *

I Agree

Additional Requests

Please Note: You must be specific on what you need. Example: filter size, names brands, measurements on items, etc.

Signature of Person Performing Request

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