Mask Request Form

The Elizabeth Fire Protection District is currently offering free KN95 and surgical masks to the public. 

Please fill out the Mask Request Form to request your free masks. Individuals are limited to 5 masks per person per month. All mask orders must be picked up from the Elizabeth Fire Protection District's Administration Office during normal business hours. Please specify date of pick-up when filling out the form. Please note: all persons who fill out a mask request form must be present in order to receive their masks. Every person who would like to receive masks from your household must complete their own Mask Request Form.

146 N. Elbert St.
Elizabeth, CO 80107
Monday-Friday, 8:00am-5:00pm

When you arrive to pick up your masks, please call the Administration Office at 303-646-3800. Any mask that is not picked up by the individual by close of business on specified pickup date will be redistributed.