Instruction Supervisor Uniform Outfitting Form Logistics Brigade Chief Item Item # Quantity Description/Specification Size Date Issued Initials Initials Dress Uniforms
J-5 Gold 2 1/4" x 1/2" Double Name Tag Blackinton 130270 2 Clutch Back
Serving Since Blackinton 130271 2 YEAR in Gold
American Flag Pin Blackinton J 143 2 American Flag Pin Gold
Breast Badge Blackinton B1449 2 Hi Glo - GOLD
Hat Badge for Dress Blackington BC076 1 Hi Glo - GOLD Hat
Snake Strap for Dress Snake Style Cap 1 Gold Hat Strap Gold, Galls
Wreath with EMS, One Star, Instruction Supervisor Collinson CINS510 2 sets 7/8", Die Struck, Clutch Back, Collar Devices Gold (Gold) Finish
"VB" Pin for Dress 1/2" letter, Custom Blackinton Style # 5 2 Coat Lapel Combination "VB", Gold Plate
Emergency Medical Services Officer Dress Coat on White Outer Ring, Blue Galls, Item # CB1288 2 Lapel Pin Star of Life on Gold Background 1 3/4 Inch wide BLACK Belt Duty Man 1611U 2 Leather / Gold Buckle Law Pro/ Hero's Tie Clip Pride Item# 1 Gold Tie Clip QM4007G Flying Cross Dress Jacket w/ Men's: JA 380; 38800 Gold P Buttons & Sleeve Officer Dress Blouse Women's: JA 009; 1 striping 38833
Flying Cross Men's: 38200 Flying Cross Plain Front Men / Dress Uniform Pants 1 Women's: 38260, Women Galls
Horace Small New Dimension Men's: ZR024 Long Sleeve Shirt / Gold P Dress Shirt L/S Women's: SR682, 2 Buttons / w/Patches and White Shirt rockers
Horace Small, New Men's ZO743 Dimension Short Sleeve Shirt Dress Shirt S/S Women's: ZM149, 2 / Gold P Buttons / w/Patches White Shirt and rockers Work Uniforms Logistics Brigade Chief Item Item # Quantity Description/Specification Size Date Issued Initials Initials
Corner Stone Hi Performance Polo / Short Sleeve w/ Gold Men's: CS-412 Polo Shirts 6 Embroidery of Badge, Name Women's: CS-413 & Rank. No Screen Print on Back.
Job Shirt / Heather Gray / 1/4 5.11 Tactical Style Zip / with Gold Embrodiery of Job Shirt 3 72314 Badge, Name & Rank. No Screen Print on Back.
Elbeco Work Pants Men's: TR593 4 4 pocket Every Day Trousers Women's: TR590
Cavalier Sportswear, Baseball Cap Trucker Style, Mesh 1 Virginia Beach EMS in Gold Backing
EMS Beanie Cavalier Sportswear 1 Virginia Beach EMS in Gold
5.11 Sabre 2.0 JA 935 1 Tactical Jacket Tactical Jacket
ANSI Class 3 / Windbreaker Windbreaker / Rain CSJ 25 1 Yellow/Black / Light weight / Coat Waterproof
SPIEWAK S-911 ANSI Class 2 Hi Viz Yellow Traffic Vest 1 EMS Traffic Safety Vest
Heather Gray Tee Shirts / Tee Shirts Beefy Tee 5180 4 GOLD Badge at L Chest / Screen Print on back
Logistics Name (Printed):______
Date of Signature: ______Logistics Signature:______Brigade Chief Name (Printed):______
Date of Signature: ______Brigade Chief Signature:______
Instruction Supervisor's Name (Printed):______
Date of Signature: ______Instruction Supervisor's Signature:______