Menstrual Product Request Form

Menstrual Product Request Form

Complete this form letting us know what menstrual products you would like, and we will get them ready for you. At this time, we will only be able to offer menstrual products to students individually, not for distribution by offices or departments. It is mandatory for you or a representative party to come to the Women’s Center (Nebraska Union, Rm. 340) to retrieve your products. Your request will be filled as soon as possible, and you will be able to pick up your order within 5 business days. Additionally, you will receive an email from Women's Center or LGBTQA+ Center staff to let you know that your order is ready. Thank you.


About the Menstrual Products:
We currently have menstrual cups, menstrual pads, reusable menstrual pads, panty liners, menstrual discs, and tampons available for pick up. Please select the amount of each item you will need. Please only request what you will use, as we have a limited number of products available.