Uniform Requisition Form
For Employees Past 90 Days
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Last Name
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Uniform Allowance
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130th Ave
Arbour Lake
Enjoy Centre
Southland
Head Office
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My Products
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( X )
A. Apron
Half Length Polyester
$
15.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
B. Apron
Full Length Cloth
$
15.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
G. Jacket - Medium Weight
Unisex jacket for cooler temperatures.
$
65.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
H. Jacket - Light-weight
Women's jacket with light weight material.
$
30.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
F. Sweatshirt
Crewneck for warmer wear.
$
25.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
C. Long Sleeve Shirt
Long sleeve lighter weight shirt.
$
25.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
E. Short Sleeve T-Shirt
Unisex fit.
$
30.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
D. Short Sleeve T-Shirt
Women's fit.
$
30.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
I. Vest
Unisex fit.
$
70.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
J. Vest
Women's fit.
$
70.00
CAD
Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
XXL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
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Next
Submit
Uniform Allowance Remaining
HR will contact the employee regarding any outstanding balances.
Should be Empty: