Staff Uniform Order Form

Order Reference

Use this form to order your staff uniform. An order will be placed with the supplier when we receive this form. All uniforms should be ordered well before they are needed. Your uniform is delivered directly to your department or ward.

This form is only for uniforms usually ordered through the Linen Service.

If you require extra uniforms or items that are not budgeted for, such as a hoodie, you will need to pay at the General Office beforehand and then send the receipt to the Linen Room, CHH before the item(s) can be ordered.

We offer a uniform sizing garment service at the CHH linen room. Every weekday 8am to 3pm.
If you are unsure of your correct size, please try the uniforms on. This will make sure you get the right size you need as quickly as possible.
Unfortunately due to space issues we cannot offer this service at HRI at the moment.

You can order one uniform per shift per week, up to a maximum of 5 uniforms. Please refer to the Uniform Sizing Guide before ordering.

Please remember you must ask permission from your budget holder before ordering.

Is this uniform for you or someone else?(Required)

Myself

Someone else

Why are you ordering a uniform?(Required)

New Starter

Replacement

New Role

Maternity

This uniform is for...(Required)

Forename Surname

Job Title(Required)

Ward / Department(Required)

Your name (NOT the person the uniform is for)(Required)

First Last

Your Email Address(Required)

Cost Code(Required)

Transfer Point(Required)

This is a 6-digit alphanumeric code. It is not the name of your department. Your charge nurse, ward clerk or ward housekeeper will know what it is.

Please deliver the uniform to...(Required)

Where?(Required)

So we can show you the correct products and sizes, please choose which range of uniform you'd like to order from:(Required)

Womenswear

Menswear

Maternity Wear

Which uniform items do you need to order?(Required)

Dress

Tunic

Trousers

Polo Shirt

Jacket (Porters)

Safety Shoes / Boots (Porters)

Other

Which uniform items do you need to order?(Required)

Dress

Tunic

Trousers

Polo Shirt

Jacket (Porters)

Safety Shoes / Boots (Porters)

Other

Please note that maternity dresses are only available for these roles:

Staff Nurse - Hospital Blue / White
Specialist Nurse - Navy Blue / White
Sister / Charge Nurse - Sailor Navy / White
Physiotherapy Assistants - Pale Blue / White
Midwife - Royal Blue / White
Physiotherapy - White / White

Which uniform items do you need to order?(Required)

Tunic

Trousers

Polo Shirt

Pilot Shirt (Porters)

Jacket (Porters)

Safety Shoes / Boots (Porters)

Other

Number of Dresses(Required)

Number of Tunics(Required)

Tunic/Dress Main Colour(Required)

Hospital Blue Tunic/Dress Trim Colour(Required)

Aqua Tunic/Dress Trim Colour(Required)

Convoy Grey Tunic/Dress Trim Colour(Required)

Royal Blue Tunic/Dress Trim Colour(Required)

Pale Blue Tunic/Dress Trim Colour(Required)

Blue and White Stripe Tunic/Dress Trim Colour(Required)

Navy Blue Tunic/Dress Trim Colour(Required)

White Tunic/Dress Trim Colour(Required)

Burgundy Tunic/Dress Trim Colour(Required)

Other Tunic/Dress Main Colour(Required)

Other Tunic/Dress Trim Colour(Required)

Dress Size(Required)

Dress Length(Required)

Women's Tunic Size(Required)

Maternity Dress Size(Required)

All maternity dresses come unhemmed.

Men's Tunic Size(Required)

Maternity Tunic Size(Required)

Number of Trousers(Required)

Men's Trouser Colour(Required)

Women's / Maternity Trouser Colour(Required)

Other Trouser Colour(Required)

Women's Trouser Size(Required)

Women's Trouser Length(Required)

Men's Trouser Size(Required)

Men's Trouser Length(Required)

Maternity Trouser Size(Required)

Maternity Trouser Length(Required)

Number of Polo Shirts(Required)

Polo Shirt Colour(Required)

Polo Shirt Size(Required)

Other Polo Shirt Colour(Required)

Number of Pilot Shirts(Required)

Pilot Shirt Size(Required)

Jacket Size(Required)

Only one jacket per person.

Please give more details about the safety footwear you would like to order(Required)

We will need the size and the style. Please bear in mind that we can only order one pair of safety footwear per person and they must be within the price range agreed by the Portering Manager.

Which other item(s) do you want to order?(Required)

You specified above that you'd like to order items that aren't listed on the standard form. Please give as much detail as possible, including style/fit, size, colour, etc.

Is any embroidery required?

If any embroidery is required on any garment, please specify the text required, the position on the garment, and what colour the text should be. Please also indicate if the NHS or trust logo is required. We cannot return embroidered garments if a mistake is made, so this could mean your ward or department is charged.

Are you ordering a uniform that requires you to send us a payment receipt?(Required)

If so, please make payment at the General Office and send the receipt to the Linen Room, CHH. Your garment(s) cannot be ordered until we receive the receipt.

Yes

Anything else we should know?

Use this box to tell us anything else we might need to know before we process your order.

By completing and submitting this form, I confirm that I have permission from my uniform budget holder to place this order.(Required)

I agree

Sizing Guide

Women's Tunic		Dress		Men's Tunic
Old Sizing	New Sizing	Old Sizing	New Sizing	Old Sizing	New Sizing
UK size	Cms	UK size	Cms	Inches	Cms
6	80	6	76
8	84	8	80
10	88	10	84	32	84
12	92	12	88	34	88
14	96	14	92	36	92
16	100	16	96	38	96
18	104/108	18	100	40	104
20	112	20	104/108	42	108
22	116	22	112	44	112
24	120	24	116	46	116
26	124/128	26	120	48	124
28	132	28	124/128	50	132
30	136	30	132	52	136
32	140	32	136	54	140
34	144	34	140
36	148	36	144/148

Tunics and dresses are now ordered in centimetres.
Dresses – Short 100cm – Regular 106cm – Tall 112cm – Unhemmed 122.5cm
Women's trousers are still in UK sizes (i.e. 10, 12, 14 etc.) lengths are – Short 27ins – Regular 29ins – Tall 31ins – XTall 33ins
Men's trousers are still in inches (i.e. 38, 40, 42 etc.) lengths are - Short 29ins – Regular 31ins – Tall 33ins – XTall 36ins
Tunics come in one length only.