Uniform Check Off Sheet
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1FT
UNIFORM CHECK OFF SHEET
Account: ______________________
PT
ITEM
SIZE
DATE
QUAN
DATE
QUAN
PRICE
RETURNED
ISSUED
$$
SHIRTS (S/S)
SHIRTS (L/S)
PANTS
WINDBREAKER
JACKET
BLAZER
BELT
TIE
TIE BAR
BADGE
NAME PLATE
PHOTO ID
EMPLOYEE MANUAL
AA MINI MAGLIGHT
MINI MAGLIGHT HOLDER
RADIO HOLSTER
GLOVE POUCH
SAM BROWN
BELT KEEPERS
KEY RING
HANDCUFF CASE
PEPPER SPRAY HOLDER
PEPPER SPRAY
BIKE SUIT (2PC)
LAWPRO BIKE SHORTS
HAT
OTHER
OTHER
OTHER
I understand that all uniforms and equipment issued to me for use during my employment with Andrews International
is property of the Company and must be returned within 3 days of your voluntary or involuntary separation with the
Company. I understand that I will be charged for any or all equipment that is lost, destroyed or not returned within 3
days of your separation from the company.
ISSUED:
RETURNED:
__________________________________
______________________________________
Print Employee Name
Employee Signature
__________________________________
______________________________________
Employee Signature
Social Security Number
_______________________________
___________________________________
A.I. Representative
A.I. Representative
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