Phase I

Personal Protective Equipment

Order

Please fill out the following information, then print your completed order and submit as shown below.

Order Information:

Ordering Fire District/Dept:
Shipping Address:
Billing Address:
City:
State:    
Zip:    
Phone:    
Ordered by:    
Title:    

How do you want it shipped? UPS Residential Business Warehouse pickup

Do you have a current DNR Agreement? Check one:

Forest Land Response Agreement And Federal Grant Agreement

Fire District Agreement with Attachment A (Assistance Grants)

Agreement Number:

None

Fire District Service Area Check one:

Rural area or rural community with a population of 10,000 or fewer residents

Community of more than 10,000 residents AND a service area that includes a rural community of fewer than 10,000 residents

Comments/Questions/Requests:



Pricing/Terms and Conditions of Sale:

Submit Phase I orders to:

Print and scan or save your order as a pdf.

Email To: Fepp_assist@dnr.wa.gov