Employee Uniform Responsibility Form

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EMPLOYEE UNIFORM RESPONSIBILITY FORM

Company: ___________________________

Employee Name: _________________________________

Date: _____________ Position: _______________

I, the undersigned, acknowledge receipt of the following items and quantities:

Quantity Items Size

The restaurant provides uniforms to all employees who are required to wear uniforms as a condition of
employment. Staff will be responsible for the safekeeping of all their uniforms. Upon termination,
uniforms must be returned in good condition or there will be a deduction for your final pay.

Employee Signature: __________________

EMPLOYEE UNIFORM RESPONSIBILITY FORM


Company: ___________________________

Employee Name: _________________________________

Date: _____________ Position: _______________

I, the undersigned, acknowledge receipt of the following items and quantities:

Quantity Items Size

The restaurant provides uniforms to all employees who are required to wear uniforms as a condition of
employment. Staff will be responsible for the safekeeping of all their uniforms. Upon termination,
uniforms must be returned in good condition or there will be a deduction for your final pay.

Employee Signature: __________________

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