This eligibility assessment is for the NJ Small and Micro Business PPE Access Program.

Funding is subject to Program funds being available. Eligibility will be reviewed on a first come, first
submitted basis. 

The eligibility assessment should be completed by an Authorized Signer (owner, CEO, or similar executive-level officer) of your organization.

Please note: If you exit this eligibility assessment form, no information will be saved. Please complete the eligibility assessment in one session so you do not lose any information.

Please note: If deemed eligible for a 65% discount, you will be allowed to select a single Designated Vendor through which to receive that discount. It is recommended that you review Designated Vendor product selections and prices prior to completing this assessment by reviewing their 10% discount sites found here: https://covid19.nj.gov/ppeaccess/.

Basic Eligibility Check

Please check these three boxes to confirm you are eligible to proceed with this assessment