Consideration of products in the future | Empire State Development

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Please complete the following form if you are a company with New York-based production facilities looking to retool in order to make necessary medical supplies.

Company Name

Location Street Address

City

State

Zip Code

Do you have existing capacity to manufacture products in New York State? Assistance is only available to companies with New York-based production facilities with retooling to produce needed supplies.

First Name of Contact Person

Last Name of Contact Person

Contact Telephone (Only numbers please.)

Business Email (Do not enter a personal email.)

Type of Company (Please include products currently produced)

Type of Company

Year Company Established

Is your company a NYS certified MWBE?

What products does your company currently produce?

COVID-19 Medical Product to be Produced

Ventilators

N-95 Masks

Other Surgical Masks

Medical Gloves

Other Gloves

Surgical Gowns

Test kit for COVID-19

Other (enter product type)

Have you received or are you willing to pursue an FDA emergency use authorization for your test kits?

Do you have access to materials?

Do you have adequate funding to cover the majority of retooling or ramp-up costs?

Do you have customers lined up to purchase the COVID-19 Medical Products you plan to produce?

Do you have existing know-how to produce the COVID-19 Medical Products?

Will production of the COVID-19 Medical Products commence within 90 days?

Please complete the following form if you are a company with New York-based production facilities looking to retool in order to make necessary medical supplies.

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