UNIFORM/EQUIPMENT FORM
Employee name:
*
First Name
Last Name
Phone Number:
*
-
Area Code
Phone Number
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date:
*
-
Month
-
Day
Year
Date
Site:
*
Supervisor's name:
*
I, the undersigned, acknowledge receipt of the following items and quantities:
*
Armed Polo (Black)
Armed Jacket (Black)
Unarmed Polo (Navy Blue)
Unarmed Polo (Gray)
Student Travel Polo (Black)
Winter Hat (Black)
Summer Cap (Black)
wind breaker (OUT OF STOCK)
Size (add 0 if not needed):
*
Pant Size Waist and Inseam (add 0 if not needed):
*
Shoe Size (add 0 if not needed):
*
Equipment (Must contact Supervisor for approval before submitting):
Upon the termination of my employment or at the request of my Manger, I will return all rented uniforms/equipment to The K Street Group. Failure to return these uniforms or equipment and/or the damage of these items will authorize the company to deduct from my final wages the cost of all uniforms or equipment missing or damaged at the rate arranged by The K Street Group. Note: Uniforms must be returned clean or there will be at $90-dollar fee. Signature:
*
Submit
Should be Empty: