Employee Uniform Item Requests Uniform Item Request Requests for Employee Uniform items are subject to the availablity of an individual employees clothing allotment funds. Sufficient funds must be available before a purchase is made. Employee Name* First Last I Am...*A Full Time EmployeeA Part Time EmployeeCertification Level*EMREMTParamedicCaptainChiefTransport AssociateOffice PersonnelUniform Item Requested:*Uniform Shirt/sJacketHatVelcro PatchesEMS PantsUniform Shirt Size*Extra SmallSmallMediumLargeExtra LargeXX LargeXXX LargeElbeco Response TEK3 Short Sleeve - Navy BlueNumber of Shirts Requested*123Uniform Jacket Size*SmallMediumLargeExtra LargeXX LargeNavy Blue Condor Winter JacketUniform HatFlex Fit Ball CapAdjustable Ball CapBeanie"Medic 9" Uniform HatsFlex Fit Hat SizeSmall - MediumLarge - Extra LargeDo you want Embroidery?*NoYesEmbroidery is placed on the back of the ball cap.Embroidery Desired*Must be exactUniform PatchesSTEMS Patch w/ VelcroCertification Patch w/ VelcroBothEMS Pant BrandElbeco5.11DickiesPropperPant Size*You must specific the exact size (i.e. 34x32).CAPTCHA