Uniform Request Form Use this form to request uniforms for new employees and replacement uniforms for current employees. Store*Choose your store17885 - Colfax32702 - Florin47 - Fruitridge33506 - Galleria Mall (Roseville)13923 - Lincoln31795 - Lincoln (2)36256 - Reno32133 - Rocklin3286 - Sparks17834 - Stanford Ranch6832 - Truckee30288 - Walmart (Roseville)1051 - Chico5354 - Chico12390 - Chico37011 - Chico39626 - Orland, CaDate Of Request* MM slash DD slash YYYY StandardName (1) First Last Cr/ Mt/ MgCr/ Mt/ MgCrMtMgShirtShirtYesNoSizeSizeSmallMediumLargeX-LargeXX-LargeXXX-LargeHatHatYesNoApronApronYesNoTieTieYesNoN/BN/BYesNoReason Name (2) First Last Cr/ Mt/ MgCr/ Mt/ MgCrMtMgShirtShirtYesNoSizeSizeSmallMediumLargeX-LargeXX-LargeXXX-LargeHatHatYesNoApronApronYesNoTieTieYesNoN/BN/BYesNoReason Name (3) First Last Cr/ Mt/ MgCr/ Mt/ MgCrMtMgShirtShirtYesNoSizeSizeSmallMediumLargeX-LargeXX-LargeXXX-LargeHatHatYesNoApronApronYesNoTieTieYesNoN/BN/BYesNoReason SpecialSpecial (1) Name/ Special Vendor Item (1) SizeSizeSmallMediumLargeX-LargeXX-LargeXXX-LargeItem (2) SizeSizeSmallMediumLargeX-LargeXX-LargeXXX-LargeReason Managers Signature First Last Signature* Please select this box to sign