Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

COVID-19 Mask Request

  1. Mask Request Form
    This form is for residents or businesses in the City of Green to request a homemade mask. These masks will only be distributed when available and priority will go to those who need them most. Masks are for Green residents and businesses only.
  2. I am requesting for*
  3. Are you employed in the healthcare field?*
  4. Are you 65 or older or is someone in your house immunocompromised?*
  5. Leave This Blank:

  6. This field is not part of the form submission.