Equipment Request Form

Employee Name: *
First Last:

PGDS Email: *
example@pgdservices.com

Project Name: *
Select from active projects:

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Equipment Requested: *
Select all that are applicable:

Wire Specifications

Wire Gauge:
ex. 14 AWG, 12 AWG Wire Color:
ex. Black, White, Red Length (feet):
ex. 100, 250

Heatshrink Cable Labels

Label Quantity:
How many labels do you need? Wire Gauge:
ex. 14 AWG, 12 AWG Label Length:
ex. 1.5", 3" Label Color:
ex. White, Yellow, Red

Adhesive Cable Labels

Label Quantity:
How many labels do you need? Wire Gauge:
ex. 14 AWG, 12 AWG Label Length:
ex. 1.5", 3" Label Color:
ex. White, Yellow, Red

Please specify:
Describe the equipment you need

Dates Needed:
Expected use duration:

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Urgency:
How soon is the equipment needed (Critical: 24hrs, Urgent: 3 days, Standard: 5 business days):

Shipping Address for Equipment:
ex. 1234 Main St

Additional Details Upload

Upload specs, sketches, or label templates when requesting cable labels.

📋 Employee Acknowledgment & Signature

Your signature will appear here

I acknowledge that the information provided is accurate and that I will use and return the equipment in accordance with PGDS policies. I understand that I am responsible for any damage or loss of equipment while in my possession.