Help Canada combat Coronavirus disease (COVID-19) – submission form

Attention! Are you a business that can supply products and services in support of Canada’s response to COVID-19?

Canada wants to hear from you. Find out more here.

If you are a business able to supply products and services in support of Canada’s response to Coronavirus disease (COVID-19), please complete this form.

Form options
Products

Please indicate what type of product(s) you are able to supply in support of Canada's initiative against COVID-19:

 
Quantity
Availability at source
Disposable N95 masks
Disposable surgical masks
Nitrile gloves
Vinyl gloves
Gowns and coveralls
Eye protection
Bottles of hand sanitizer
ICU-level ventilators
Ventilators
Thermometers
COVID-19 Testing kits
Flock swabs
Services

Please indicate what type of service(s) you are able to supply in support of Canada's initiative against COVID-19:

 
Quantity
Availability at source
Guard / security services
Nursing services
Food services
Laundry services
Accommodation maintenance services
Personal services
IT support services
Supplier contact information
Other supplier information
Please note that if you don't currently have a MDEL licence, you can apply for it by contacting Health Canada.

Do your products comply with the Buyandsell.gc.ca - Specifications for COVID-19 Products page?

If you have any additional certifications or licenses related to your products or services, please provide detailed information below:

Personal Information Collection Statement

The submission of this form and the provision of the requested information is voluntary. The information you provide is collected for the purpose of creating a network of suppliers that can aid in Canada's response to COVID-19. Your personal information is kept confidential and is protected under the provisions of the Privacy Act.

By submitting this form, you give permission to Public Services and Procurement Canada, on behalf of the company, to share the company name, contact information and capabilities listed in this form for the purposes of completing this work and for further analysis, with:

  • Other federal departments and/or Provincial government(s)
  • Federal Crown corporations.

For more information on the Government of Canada's privacy policies and practices, see the Privacy page.