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Managed Program Change Form (For Administrators)
About Us + Contact Us
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Please fill out and submit the following information for arc-rated garment disposal. Employee should re-order new product one-for-one to coincide with disposed garments.
Employee Information
*
Indicates required field
Company Division
*
Minnesota Power
Allete Renewable Resources (ARR)
Select One
Employee Disposing Garments
*
First
Last
Employee Location
*
Aurora (Laskin)
Carlton
Center
Cohasset (Boswell)
Cloquet
Coleraine
Crosby
Eveleth
Duluth Arrowhead (HSC)
Duluth Persons (Rowe)
Duluth Superior St (Corporate Office)
Grand Rapids (Rapids Energy)
International Falls
Little Falls
Long Prairie
Park Rapids
Pine River
Sandsone
Virginia (Mt. Iron)
Select One
Manager Of Employee
*
First
Last
Administrator Making Request (if different from manager of employee)
*
First
Last
[object Object]
Arc-Rated Garments For Disposal
Shirts For Disposal
*
0
1
2
3
4
5
6
7
8
9
10
11
12
Pants For Disposal
*
0
1
2
3
4
5
6
7
8
9
10
11
12
Sweatshirts For Disposal
*
0
1
2
3
4
5
6
Insulated Vests For Disposal
*
0
1
2
3
4
5
6
Jackets For Disposal
*
0
1
2
3
4
5
6
Bibs For Disposal
*
0
1
2
3
4
5
6
Coveralls For Disposal
*
0
1
2
3
4
5
6
Other
*
0
1
2
3
4
5
6
Comment
*
Submit