State of California COVID-19 Medical Supply Contributions

Please use this form to describe resources you have to contribute, either for donation or purchase, to support California’s response to COVID-19.

If you are an individual looking for an avenue to donate a smaller amount of resources, please consider donating to your local community COVID-19 response efforts.

california for all your actions save lives visit California for All website
visit Department of Public Health website

Organization and Contact Information

What resources are you offering?

Are you interested in donating these resources?

Through combined efforts and contributions from organizations like yours, California has met many of our initial goals for medical supplies for the COVID-19 response. If you have a donation or other offer of resource contribution, please identify it in the appropriate field below.

Maximum 245 characters
Maximum 245 characters

Business Entity:

Please fill out more detailed information about your business entity, including your federal tax identification and year of incorporation, to enable a more efficient review of your business.

Location / Address