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HUMAN RESOURCES DEPARTMENT

RECORD OF UNIFORMS RETURED

SECTION A: to be completed by Warehouse


Full Name(s): Employee Number:

Surname: Date Engaged:

Store: (currently employed) Position: i.e. All Star, Shift Supervisor:

THE FOLLOWING UNIFORM HAS BEEN RETURNED TO THE COMPANY BY THE EMPLOYEE UPON
TERMINATION OF THE EMPLOYEE’S SERVICES
X Clothing Item Size Quantity Total Cost

(Men’s) / (ladies) Short Sleeve Shirt R

(Men’s) / (Ladies) Long Sleeve Shirt R

(Men’s) / (Ladies) Denim Jeans R

(Men’s) / (Ladies) Chinos R

Ladies Short Sleeve Semi Fit Blouse R

Ladies Short Sleeve Comfy Fit Blouse R

Ladies Denim Skirt R

Red Training T-shirt R

Maternity Blouse R

Maternity Slax R

Sweat Shirt R

Dri-Mac Jacket R

Peak Cap N/A R

Safety Shoes R

Name Badge N/A R

TOTAL COST OF UNIFORM RETURNED: R

Date Returned: Signature of Employee:

Signature of Manager receiving Uniform: Signature of Area Coach: Signature of Warehouse Manager:

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