PPE Order Form (Unpaid carers)

To apply for free equipment including gloves, face protection and hand sanitizer, simply complete this order form.
When Leeds City Council have received your form, they will contact you to discuss your order. Once you are happy with your order, they will deliver within 72 hours.

If you need help to fill in this form, please contact Carers Leeds: 0113 380 4300.

    Please select what you would like to order from the following options.

    Nitrile Gloves
    1 box (100 gloves)

    2 boxes (200 gloves)

    Face Protection
    Fluid Repellent Mask

    Goggles

    Face Shield

    Hand Hygiene
    100ml bottle

    500ml bottle

    Body Protection

    If you have any trouble submitting the online form, download this Microsoft Word version and e-mail to PPEOrders@leeds.gov.uk