Get Safety Shoe And Insole Reimbursement Form

This guide provides a detailed overview of how to accurately complete the Safety Shoe And Insole Reimbursement Form online. By following these step-by-step instructions, users can ensure that their reimbursement requests are processed efficiently.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Safety Shoe And Insole Reimbursement Form and open it in your preferred online document editor.
2. Begin by checking the appropriate boxes for the type of safety shoes you are requesting reimbursement for. There are options for PMA, yellow tag, and green tag.
3. Indicate the duration for reimbursement by checking the corresponding box for either 1 year or 2 years.
4. Fill in your last name and first name in the designated fields.
5. Provide your Western employee number.
6. Specify the department, room number, or building associated with your position.
7. Indicate whether you have purchased safety toes by checking either 'Yes' or 'No'.
8. Ensure that your supervisor's information is filled in clearly, including their printed name, telephone number, and signature.
9. Review the completed form for accuracy and completeness, making sure that all necessary sections are filled out.
10. Attach the original receipt to the form before finalizing your submission.
11. Submit the completed form to Human Resources at Room 5100, Support Services Building, and retain a copy for your records.
12. If needed, inquire about any issues by calling (519) 661-2194.

Start completing your Safety Shoe And Insole Reimbursement Form online today!