Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Location *Choose OneAlma (3545)Alpine - Drivers/Maintenance (3053)Battle Creek (5505)Benton Harbor (3570)Black River Recycling (3085)Buchanan (3560)Burton Street Yard (1267)Cadillac (3588)Dowagiac (3568)Grandville Recycling (1356)Grandville - Wire Chop Plant (3707)Fremont (3738)Front St Metal & Parts (4949)Hastings (3587)Holland Briq, Shear, Shred, Turning (20814)sHolland Customer Service Drivers (20918)Holland Heavy Equipment (20824)Holland HR (2887)Holland LPM (20940)Holland Metals (20841)Holland Yard (20827)Howell (5158)IXL (17207)Lansing (3589)Leitelt Inc (3527)Ludington (3586)Shoreline Recycling (1262)Traverse City (3569)Turner Shear/Shredder (212)Turner Yard (3590)Wyoming Metals (2267)Wyoming Plastics (730)Reason for Request *Choose OneNewTerminationSize ChangeTransferCancel Coveralls OnlyCancel Pants OnlyAdd PantsAdd CoverallsFor transfers-allow 1-2 weeks for delivery location changeLast Day of Employment *Size Change Needed *ShirtsPantsCoverallsSelect all that applyNew Shirt Size *Choose OneSmallMediumLargeXL2XL3XL4XL5XLNew Pant Size-Waist *Choose One2830323436384042444648505254565860Length *Choose One262830323436New Coverall Size *Choose One384042444648505254565860Transfer to *Choose OneWyoming Metals (2267)Wyoming Plastics (730)Burton Street Yard (1267)Holland HR (2887)Holland Heavy Equipment (20824)IXL (17207)Holland Briq, Shear, Shred, Turnings (20814)Holland LPM (20940)Holland Metals (20841)Holland Yard (20827)Holland Cutomer Service Drivers (20918)Shoreline Recycling (1262)Grandville Recycling (1356)Grandville - Wire Chop Plant (3707)Alpine - Drivers/Maintenance (3053)Turner Shear/Shredder (212)Turner Yard (3590)Leitelt Inc (3527)Black River Recycling (3085)Front St Metal & Parts (4949)Dowagiac (3568)Benton Harbor (3570)Buchanan (3560)Lansing (3589)Alma (3545)Hastings (3587)Cadillac (3588)Ludington (3586)Traverse City (3569)Fremont (3738)Battle Creek (5505)Howell (5158)Employee InformationTeam Member Name *FirstLastName (as it will appear on emblem) *ID Number *Position at Padnos *Choose OneHourlySalaryChoose OneIXL, Electricians, Maintenance & WeldersAll Other PositionsUniform Style *MensLadiesGarment Selection *Shirts & PantsShirts OnlyOther Positions-Shirts Only Selection *Choose One11 shirts only - $0.0013 shirts only - $0.00Other Positions-Shirts Only Selection *Choose One21 shirts only - $0.00Other Positions-Shirts & Pants Selection *Choose One11 shirts and jeans - $0.0013 shirts and jeans - $0.00Other Positions-Shirts & Pants Selection *Choose One21 shirts and jeans - $0.00IXL, Electricians, Maintenance & Welders-Shirts Only Selection *Choose One11 shirts only - $0.0013 shirts only - $0.00IXL, Electricians, Maintenance & Welders-Shirts Only Selection *Choose One21 shirts only - $0.00IXL, Electricians, Maintenance & Welders-Shirts & Jeans Selection *Choose One11 shirts and pants - $0.0013 shirts and pants - $0.00IXL, Electricians, Maintenance & Welders-Shirts & Jeans Selection *Choose One21 shirts and pants - $0.00Shirt Size *Choose OneSmallMediumLargeXL2XL3XL4XL5XLShirt Type (Long Sleeve Only) *Choose OneRegular with Hi-Vis Chest Striping (SC3MPBB)Tall with Hi-Vis Chest Striping (SC3MPBB)Regular w/o Hi-Vis Chest Striping-Welders Only (SC3MPB)Tall w/o Chest Hi-Vis Striping-Welders Only (SC3MPB)Shirt Size *Choose OneSmallMediumLargeXL2XL3XL4XL5XLShirt Type *Choose OneRegularTallQuantity: # of Short Sleeve (SP8WGBB) *(Please note if using a combination it must equal quantity ordered)# of Long Sleeve (SP7WGBB) *Pant Size-Waist (PD60PW) *Choose One2830323436384042Pant Size-Waist (PEJ3) *Choose One4681012141618202224Length *Choose One2830323436Length *Choose One2426283032Pants Style *Mens Jeans (PD60W)Ladies Jeans (PEJ3)Dress Pants (E-2534)Quantity Needed *Choose One11 pants - $0.0013 pants - $0.0021 pants (Traverse City location only) - $0.00Quantity Needed *Choose One11 pants - $0.0021 pants (Traverse City location only) - $0.00Uniform Style *MensLadiesGarment Selection *Shirts & JeansShirts & Dress PantsShirts OnlySalary Positions-Shirts Only Selection *Choose One11 Dress Shirts with Logo - $0.0011 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe - $0.00Salary Positions-Shirts Only Selection *Choose One21 Dress Shirts with Logo - $0.0021 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe - $0.00Salary Positions-Shirts & Jeans Selection *Choose One11 Dress Shirts with Logo & Jeans - $0.0011 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe & Jeans - $0.00Salary Positions-Shirts & Jeans Selection *Choose One21 Dress Shirts with Logo & Jeans - $0.0021 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe & Jeans - $0.00Salary Positions-Shirts & Dress Pants Selection *Choose One11 Dress Shirts with Logo & Dress Pants - $0.0011 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe & Dress Pants - $0.00Salary Positions-Shirts & Dress Pants Selection *Choose One21 Dress Shirts with Logo & Dress Pants - $0.0021 Dress Shirts with Logo with Back, Front & Sleeve Hi-Vis Stripe & Dress Pants - $0.00Shirt Size *Choose OneSmallMediumLargeXL2XL3XL4XL5XLShirt Selection *Choose OneRegular Long Sleeve Shirt (S608)Tall Long Sleeve Shirt (TLS608)Regular Short Sleeve Shirt (S508)Tall Short Sleeve Shirt (TLS508)Shirt Selection *Ladies Long Sleeve Shirt (L608)Ladies Short Sleeve Shirt (L508)Color Selection *Single ColorVariety PackShirts will be delivered in a variety of Black, Red, Burgundy, Dark Green, Royal, Stone, or Light Blue depending on availabilityColor Choice *BlackRedBurgundyDark GreenRoyalStoneLight BluePant Size-Waist (PD60PW) *Choose One2830323436384042Length *Choose One262830323436Pant Size-Waist (PEJ3) *Choose One4681012141618202224Length *Choose One2426283032Pant Size-Waist (E-2534) *Choose One2830323436384042Length *Choose One262830323436Color *TanNavyBlackAdd Coveralls (CC1UNVB) *YesNoSize *Choose One384042444648505254565860Length *Choose OneRegularTallQuantity *Choose One3 coveralls - $0.005 coveralls - $0.007 coveralls - $0.009 coveralls - $0.0011 coveralls - $0.0013 coveralls - $0.00Weekly Rental Deduction$0.00*For Traverse City location, two week rental cost is shownStatement of ResponsibilityPlease read & check each box *I understand I am required to wear hi-vis/reflective uniform shirts for my employment at PADNOSI understand that the uniforms are the property of WM UniformI understand that I must return all uniforms issued to me within 4 weeks if I make any changes in service or immediately if I am no longer employed at PADNOSI authorize PADNOS to automatically deduct the cost of any uniforms not returned upon my separation of employment from my last paycheckReplacement Costs: Full price - items less than 6 months old, 1/2 price - items over 6 months old Jeans - $22/$11Coveralls - $68/$34Poly/Cotton Shirts - $50/$25Cotton Shirts - $68/34Dress Pants - $44/$22Dress Shirts - BUYOUT Date *PhoneSubmit
