OWA Uniform Item Request

Employee Number  Your Job Title: 

Shirt- Short Sleve   Size:   Quanity needed: 

Shirt- Long Sleve   Size:   Sleeve Length:   Quanity needed: 

Pants   Waist:   Inseam:   Quanity needed: 

Sweater  Quanity needed: 

Team member is responsible for the full cost by reimbursement to Gold Cross. Team member cost is $40

Uniform Jacket
Only Inner Jacket Needed Only Outter Jacket Needed

Leather Nametags  Name: Title: 

Fleece Jacket   Quanity needed: 

Team member is responsible for half the cost by reimbursement to Gold Cross. Team member cost is $40

Jumpsuit   Suit Size:   Outseam: 

Measure outseam from bottom of waistband to floor in stocking feet.
Team member is responsible for half the cost by reimbursement to Gold Cross. Team member cost is $85


Caduceus    Sets