Mask Request Form
You can fill out this form requesting masks however, REQUESTS ARE NO LONGER BEING ACCEPTED THROUGH THIS PROGRAM. WE BELIEVE MORE SUPPLIES MAY BE INCOMING. If you apply, we will contact you when masks are available again.






Original text:
A substantial number of cloth masks was received by Westchester County, donated by Hanes to the federal government, for distribution to essential service workers. These masks are cloth and therefore not fit for healthcare workers, first responders, etc. (who are getting masks through different channels). Municipalities have been asked to coordinate distribution of these masks to those on the front lines of this pandemic. We've intentionally kept the number of questions short, however the information below is REQUIRED.

We will contact you to set up a pick-up time once your request is received.

For questions or comments please contact Carina Scorcia at 914-762-6002, cscorcia@TownofOssining.com, or TownofOssining@gmail.com.
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Name of Organization *
Please specify the type of organization: *
Description of "other" chosen above:
Is your business in the Village or Town? *
Number of Masks Requested? *
Preferred pick-up appointment times (12-4pm, M-F) - We will call to confirm time scheduled *
We will contact you to confirm your request and set up a pick up time and location. Please provide your name and phone number below. This may be verified at the time of pick-up. *
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