Order Picker Equipment Extension Request Form
Submit this form to request an extension for order picker equipment usage or return. Please provide all required details for review.
Requester Full Name
*
First Name
Last Name
Department
*
Please Select
Warehouse Operations
Logistics
Inventory Control
Maintenance
Other
Contact Email
*
example@example.com
Order Picker Equipment ID or Serial Number
*
Equipment Type
*
Please Select
Electric Order Picker
Manual Order Picker
High-Level Order Picker
Low-Level Order Picker
Other
Current Equipment Return Due Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested Extension Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Extension
*
Operational Impact if Extension is Not Granted
*
No Impact
Minor Delay
Major Delay
Critical Operations Affected
Additional Notes or Supporting Information
Submit Request
Should be Empty: