EmailMeForm
SUPERVISOR FIELD ISSUED EQUIPMENT
Use this form when you issue equipment to Officers in the field.
Officers Name that was issued equipment
*
First
Last
Date Time
*
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Post Location/Name
*
Checkbox
*
Uniform Shirt
S/O Badge
Collar S/Os
Name Plate
Shoulder Patch
Jacket
Wind Breaker
Rain Gear
Retevis Radio
Collar Mic
Radio Carry Case
Antenna
Radio Battery
Radio Knobs
Chargers
Vehicle Light Bars
Reflective Vest
Other
OTHER ITEM ISSUED
Supervisor Name
EMPLOYEE SIGNATURE. I understand that the cost of the issued gear may be deducted from my payroll check.
*
Clear
Supervisor Signature
*
Clear
