Uniform Return Form
Target Return Date
-
Month
-
Day
Year
Date
Employee Details
Employee Name
First Name
Last Name
Employee Phone Number
Please enter a valid phone number.
Employee Email
example@example.com
Position
Department
Name of immediate supervisor
First Name
Last Name
What are the items that will be returned?
Rows
Item description
Size
Quantity
Condition
1
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
2
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
3
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
4
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
5
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
6
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
7
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
8
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
9
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
10
XS
S
M
L
XL
XXL
Excellent
Good
Needs repair
Needs replacement
Missing
Reason for return
Terms and Conditions
I understand that these items need to be returned on the specified date.
I understand that I'm responsible for the items and I'll do my best to take care of them.
I confirm that I will follow the recommended type of laundry for the items needed.
I understand that I cannot alter the uniform.
I confirm that I'm not allowed to print a logo or an image into the uniform.
I understand that if by any chance the items are damaged or went missing, the employee will be responsible for it.
Employee Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: