Uniform Request

• Name

• Departmental Number

• Purchase Order No F13490

• Phone Number

• DATE and TIME

  Date
PANTS

• TYPE OF PANTS

  SHORTS

  MENS CARGO

  POLY COTTON

  WOMENS CARGO

• SIZE

  Select 77 82 87 92 97 102 107 112 117 122 127 132

  • 77
  • 82
  • 87
  • 92
  • 97
  • 102
  • 107
  • 112
  • 117
  • 122
  • 127
  • 132

• Quantity

  1

  2

  3

• SIZE

  Select SIZE 8 SIZE 10 SIZE 12 SIZE 14 SIZE 16 SIZE 18 SIZE 20 SIZE 22

  • SIZE 8
  • SIZE 10
  • SIZE 12
  • SIZE 14
  • SIZE 16
  • SIZE 18
  • SIZE 20
  • SIZE 22

• Quantity

  1

  2

  3

• Style of fit

  Stout

  Regular

  Long

• SIZE

  Select Size 87S Size 92S Size 97S Size 102S Size 107S Size 112S Size 117S Size 122S Size 127S Size 132S

  • Size 87S
  • Size 92S
  • Size 97S
  • Size 102S
  • Size 107S
  • Size 112S
  • Size 117S
  • Size 122S
  • Size 127S
  • Size 132S

• QUANTITY

  1

  2

  3

• SIZE

  Select Size 72R Size 77R Size 82R Size 87R Size 92R Size 97R Size 102R Size 107R Size 112R Size 117R Size 122R Size 127R Size 132R

  • Size 72R
  • Size 77R
  • Size 82R
  • Size 87R
  • Size 92R
  • Size 97R
  • Size 102R
  • Size 107R
  • Size 112R
  • Size 117R
  • Size 122R
  • Size 127R
  • Size 132R

• QUANTITY

  1

  2

  3

• SIZE

  Size 74L

  Size 79L

  Size 84L

  Size 89L

  Size 94L

• QUANTITY

  1

  2

  3

• SHIRTS

Shirts

• Type of shirt

  POLO

  S/S SHIRT MENS

  L/S SHIRT MENS

  S/S SHIRT LADIES

  L/S SHIRT LADIES

• Size

  Select size 8 size 10 size 12 size 14 size 16 size 18 size 20 size 22 size 24 size 26 size 28 size 30 Sixe 32

  • size 8
  • size 10
  • size 12
  • size 14
  • size 16
  • size 18
  • size 20
  • size 22
  • size 24
  • size 26
  • size 28
  • size 30
  • Sixe 32

• Quantity

  Select 1 2 3 4 5 6 7

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

• SIZE

  Select 6 8 10 12 14 16 18 20 22 24 26 28 30 32

  • 6
  • 8
  • 10
  • 12
  • 14
  • 16
  • 18
  • 20
  • 22
  • 24
  • 26
  • 28
  • 30
  • 32

• Quantity

  Select 1 2 3 4 5 6 7

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

• SIZE

  Select SMALL MEDIUM LARGE X-LARGE XX-LARGE XXX-LARGE XXXX-LARGE XXXXX-LARGE XXXXXX-LARGE

  • SMALL
  • MEDIUM
  • LARGE
  • X-LARGE
  • XX-LARGE
  • XXX-LARGE
  • XXXX-LARGE
  • XXXXX-LARGE
  • XXXXXX-LARGE

• Quantity

  Select 1 2 3 4 5 6 7

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

• JUMPER OR VEST

JUMPER / VEST

• Jumper/Vest

  JUMPER

  VEST

• SIZE

  Select size 8 size 10 size 12 size 14 size 16 size 18 size 20 size 22 size 24 size 26 size 28 size 30 Sixe 32

  • size 8
  • size 10
  • size 12
  • size 14
  • size 16
  • size 18
  • size 20
  • size 22
  • size 24
  • size 26
  • size 28
  • size 30
  • Sixe 32

• Quantity

  1

  2
FOOTWEAR

• Footware

  boot

  Shoe

• Size

  Select size 3 size 4 size 5 size 6 size 6 1/2 size 7 size 7 1/2 size 8 size 8 1/2 size 9 size 9 1/2 size 10 size 10 1/2 size 11 size 12 size 13 size 14

  • size 3
  • size 4
  • size 5
  • size 6
  • size 6 1/2
  • size 7
  • size 7 1/2
  • size 8
  • size 8 1/2
  • size 9
  • size 9 1/2
  • size 10
  • size 10 1/2
  • size 11
  • size 12
  • size 13
  • size 14

• Belt x 1

  Select 77 82 87 92 97 102 107 112 117 122 127 132

  • 77
  • 82
  • 87
  • 92
  • 97
  • 102
  • 107
  • 112
  • 117
  • 122
  • 127
  • 132
JACKET

• JACKET TYPE

  Spring

  Winter

• SIZE

  Select SMALL MEDIUM LARGE X-LARGE XX-LARGE XXX-LARGE XXXX-LARGE XXXXX-LARGE XXXXXX-LARGE

  • SMALL
  • MEDIUM
  • LARGE
  • X-LARGE
  • XX-LARGE
  • XXX-LARGE
  • XXXX-LARGE
  • XXXXX-LARGE
  • XXXXXX-LARGE

• JACKET QUANTITY 1 ONLY

• Glasses

  Select Clear Smoke

  • Clear
  • Smoke

• Aeroguard/ Hand Gel/ Sunscreen

  Handgel

  Aeroguard

  Sunscreen

• Cap/Beanie

  Select 1 X Cap 1 X Beanie

  • 1 X Cap
  • 1 X Beanie

• TORCH

  YES

  NO

• Has a statutory declaration been provide

  YES

  NO

  Never Received a torch

• Backpack/Trolley Bag

  1 X Backpack

  1 X Trolley Bag

• Safety Vest

  Select Small Medium Large X Large XX Large XXX Large XXXX Large

  • Small
  • Medium
  • Large
  • X Large
  • XX Large
  • XXX Large
  • XXXX Large

• Watch

  YES

  NO

• Stores (sweeties, pens and pencils)

  YES

  NO

• Gloves

  Select Small Medium Large X Large XX Large XXX Large XXXX Large

  • Small
  • Medium
  • Large
  • X Large
  • XX Large
  • XXX Large
  • XXXX Large

• Managers Name and Signature

  Sign

DRIVER TO SIGN FOR RECEIPT OF UNIFORM

• Signature
  
  _________________________________________________________
  
  
  DATE________/__________/___________________