UC San Diego PPE Office Online Fitting Form

• Name

  Name First Last
• UCSD Email Address *
  (If no UCSD email, then personal email)
• Principal Investigator

  Principal Investigator First Last
• What is the reason for your visit to the PPE Office?
  Please check all that apply
  What is the reason for your visit to the PPE Office?
  Please check all that apply

  Lab Coat Fitting Safety Glasses Faceshield/Goggles/Aprons Loaner lab coat (pick-up/return) Laundry Question/Other
• Are you eligible to be fitted for two personal lab coats?
  Eligible lab members include: Any researcher employed by UC San Diego (i.e. graduate students, post-docs, staff, and PAID undergraduates) that will be working in the lab for AT LEAST ONE CALENDAR YEAR. Volunteers are ELIGIBLE for a loaner lab coat, which is a temporary use coat they will return to the PPE Office when are finished working in the lab.
  Yes No
• By typing your first and last name in the box below you are verifying you meet the eligibility requirements: *