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1-fiver <br />City of Elk River <br />2008 UNIFORM ELECTION <br />for <br />Street Division Employees <br />(Street Maintenance and Equipment Services) <br />Employee N <br />For 2008, I elect to receive my uniform clothing per the option selected below: <br />^ Option I-Rental Uniforms - 11 shirts, 11 jeans, and 2 work jackets with weekly <br />laundry service. <br />^ Option II-Uniform Allowance -Annual allowance to purchase approved clothing. <br />I have read and agree to follow the requirements of the attached Uniform Policy. I <br />understand that this election is in effect for all of 2008 and that I may not change my <br />election until January 2009. Further, I understand that if I elect Option II, clothing that I <br />purchase is a taxable benefit that will be added to my gross pay. If I spend more than I have <br />available through my allowance, I will promptly reimburse the City for the additional <br />amount. If I fail to do so, the City has my permission to deduct this amount from my <br />paycheck. <br />Employee Signature <br />Supervisor <br />Date <br />Date <br />Forward completed copy to Human Resources. <br />