Glue Gun Extension Request Form
Request an extension for your current glue gun usage. Please provide all required details to process your request efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department or Group
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Original Booking Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Original Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested Extension Period (New Return Date)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Extension
*
Current Condition of Glue Gun
*
Excellent
Good
Fair
Needs Maintenance
Other
Supervisor/Manager Name
*
Supervisor/Manager Approval
*
Approved
Denied
Additional Comments or Notes
Submit Request
Should be Empty: