Ergonomic Chair Request
formswrite.com/templates/ergonomic-chair-request-form
Ergonomic Chair Request
Request an ergonomic office chair upgrade with health justification and workstation measurements.
Employee name *
Your answer
Corporate email
Office location / desk number *
Your answer
Manager email (for approval)
Reason for request
Are you submitting medical documentation separately?
Height (cm)
Weight range (lb)
+ 4 more questions
About this template
Request an ergonomic office chair upgrade with health justification and workstation measurements.
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