Table Saw Extension Request Form
Request additional time for use of the table saw. Please complete all sections to ensure your request is processed efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Affiliation
*
Original Table Saw Booking Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Project or Task Name
*
Requested Extension Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Duration of Extension Requested (in hours)
*
Reason for Requesting Extension
*
Have you reviewed and agree to follow all table saw safety protocols during the extended period?
*
Yes, I have reviewed and will comply with all safety protocols.
No, I need to review them before proceeding.
Supervisor/Manager Name (for approval)
Supervisor/Manager Email
example@example.com
Additional Notes or Comments
Submit Request
Should be Empty: