Employee Uniform Requests

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...*

Certification Level*

Uniform Item Requested:*

Uniform Shirt Size*

Elbeco Response TEK3 Short Sleeve - Navy Blue

Number of Shirts Requested*

Uniform Jacket Size*

Navy Blue Condor Winter Jacket

Uniform Hat

"Medic 9" Uniform Hats

Flex Fit Hat Size

Do you want Embroidery?*

Embroidery is placed on the back of the ball cap.

Embroidery Desired*

Must be exact

Uniform Patches

EMS Pant Brand

Pant Size*

You must specific the exact size (i.e. 34x32).

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Employee Uniform Requests

Employee Uniform Item Requests

Uniform Item Request