COVID-19: Thermometer Request Form

300 infrared thermometers available at no cost to Morris County community and faith-based groups that generally have gatherings that attract more than 20 persons, to better ensure overall public wellness.

Infrared thermometers will be available for free on a first-come, first-serve basis – one per organization.

Organization Name

Explain how the services your organization provides require the congregation of large groups.

Contact Information for Person Receiving Thermometer Delivery at Organization Address Provided Above

Name

Phone Number

Hours Available

Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.