Staff - Uniform Bond / Refund Form

Staff Uniform Bond / Refund Form
Please deduct or refund the following amount from the staff members payroll account...

* Indicates required field

Name *

First

Last

Pool Location *

Melbourne Geelong

H2O Uniform (refundable if on return item is in excellent condition) *

Short sleeve T-Shirt $25.00 deposit Fleecy Sleeveless Vest $30.00 deposit Supervisor Short sleeve Polo Shirt $20.00 deposit Long sleeve ToasTee Wetsuit $100.00 (NON REFUNDABLE)

Reason: *

Commenced Employement Finished Employment Other

THIS UNIFORM DEPOSIT WILL BE DEDUCTED FROM NEXT PAY

++ office use only ++ APPROVED BY: *

First

Last

++ office use only ++ OFFICE TO CONFIRM A DEPOSIT ORIGINALLY TAKEN FROM STAFF MEMBER IF SEEKING A REFUND = Yes/No *

SUBMIT TO H2O OFFICE TO PROCESS

Staff Uniform Bond / Refund FormPlease deduct or refund the following amount from the staff members payroll account...

Staff Uniform Bond / Refund Form
Please deduct or refund the following amount from the staff members payroll account...