Equipment and Uniform Issue Hand Receipt

Name

First

Last

Identification Badge Issued

Coat

Coat Size

Coat (If issued more than one type)

Coat Size (if issued more that one type)

Head Gear

Pants Type

type)) Badge more

Waist Size

Inseam

Number of Pants Issued

Pants Type (If issued more than one type)

Waist Size (If issued more than one type)

Inseam (If issued more than one type)

Number of Pants Issued (If issue more than one type)

Shirt Type

Shirt Size

Number of Shirts Issued

Shirt Type (If issued more than one type)

Shirt Size (If issued more than one type)

Number of Shirts Issued (If issued more than one type))

Signature. By signing this document, I acknowledge receipt of the above issued company equipment and uniforms.

Clear Signature

By signing this document, I acknowledge receipt of the above issued company equipment and uniforms.

Date / Time

Date

Time