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Employee Portal

Supply Request Form

This form is typically utilized by Residential, ALS, Avenue A, and Avenue B. The administrative team at Avenue B will fill your order. Should have a custom office supply request, please contact Daniel Williams daniel@techinc.org.

Medical Supplies are fulfilled by the Health Services Team and Office Supplies are fulfilled by Kimberly Frank. Should you have any problems with this form, please contact Lacey Mills or Tasha Miller.

Name(Required)

Medical Supplies

To order multiple sizes of an item, simply click the + sign to the right of quantity and it will give you another line.
Briefs - Tab
Size (Comes in cases of S, M, L, XL, 2XL)
Quantity
 
Briefs - Pull Ups
Size (Comes in cases of S, M, L, XL, 2XL)
Quantity
 
Underpads/Chux
Size (Bag of 12 or 1 Case)
Quantity
 
Individual Gloves
Size (S, M, L, XL)
Quantity
 
Case of Gloves
Size (S, M, L, XL)
Quantity
 
Wipes
Size (Individual or Case)
Quantity
 
Med Cups
Comes in Case of 50
Quantity
 
Narcotic Medication Administration/Count Sheets
Quantity
 

Office Supplies

To order multiple sizes of an item, simply click the + sign to the right of quantity and it will give you another line.
Copy Paper
Comes in Case of 250
Quantity
 
Coin/Med Envelopes
Quantity
 
Glue Sticks
Quantity
 
Highlighters
Quantity
 
Pens
Quantity
 
Magic Markers
Quantity
 
Sharpies
Quantity
 
Scotch Tape
Quantity
 
Staples
Quantity
 
White Out
Quantity
 
Spiral Notebook
Quantity
 
Legal Pads
Size (Small and Large)
Quantity
 
Paper Clips
Size (Small and Large)
Quantity
 
Post It Notes
Size (Small and Large)
Quantity
 
Peer Review Forms
Quantity
 
Menus Weekly
Quantity
 

Vehicle Office Supplies

Gas Vouchers/Vehicle Number
Quantity
 
Mileage Logs - Trip by Trip/Vehicle #
Quantity
 
KDOT Pre-Trip Inspection
Quantity