Employee Uniform Acknowledgment Form
Please complete this form to acknowledge receipt and understanding of the company’s uniform policy and items.
Employee Name
*
First Name
Last Name
Department or Position
*
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Uniform Items Issued
*
Rows
Item
Quantity
Size
Shirt
Pants
Jacket
Cap/Headwear
Other
Uniform Acknowledgment
*
By signing below, I acknowledge that I have received the listed uniform items and understand the company’s uniform policy and my responsibilities regarding care and return of these items.
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: