DOC-1877A Uniform Order.doc
DOC document 92 KB Posted
- Attached to
- Department of Corrections Officer Uniforms
- Contract number
- 410014-M15-JRL1041-SUP-01
- Issued by
- Wisconsin
About this file
This is a uniform order form (DOC-1877A) used by the Wisconsin Department of Corrections Division of Management Services for ordering correctional officer uniforms and related items. The form is designed to facilitate ordering between DOC facilities and Black River Industries (BRI), which serves as the uniform vendor. The document is a standardized procurement form that allows various Wisconsin correctional institutions and centers to place uniform orders through a centralized process.
The contract covers a comprehensive range of correctional officer uniform items including men's and women's long and short sleeve shirts in blue and white colors, men's and women's pants, jackets with inner and outer shell components, baseball caps, and various patches including shoulder WI DOC patches, USA flag patches, and chevron patches. The form includes specific stock numbers for each item (such as P878/P877 for men's long sleeve shirts, E5704R for men's pants, and E5714LC for women's pants) but does not display actual pricing, with all cost fields showing $0.00 as placeholder values. The ordering process requires purchase order numbers and dates, includes provisions for partial shipments, and establishes a verification system where DOC staff must sign upon receipt of shipments to confirm quantities received match those ordered.
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| 1041 ATTACHMENT 1 FINAL 6.26.24 Embroidery Specifications.docx | DOCX document |
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Text version
DEPARTMENT OF CORRECTIONS WISCONSIN
Division of Management Services DOC-1877A (Rev. 12/2016)
UNIFORM ORDER FORM
| REQUIRED DATA |
| 1. CONTACT NAME OF STAFF SUBMITTING UNIFORM ORDER: |
| 2. LOCATION: CHOOSE ONLY ONE INSTITUTION OR CENTER LOCATION FROM DROP DOWN LIST |
| OR |
| VENDOR INFORMATION |
| 3. PHONE NUMBER: |
| 4. EMAIL: |
| 8. SHIPMENT PREPARED BY: |
| 5. DATE ORDER SUBMITTED: |
| 9. VENDOR SHIPPING DATE: |
| 6. PURCHASE ORDER #: |
| 7. PURCHASE ORDER DATE: |
| 10. DELIVERY DRIVER SIGNATURE: |
| ITEM |
| SHIRT SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL |
COST
VENDOR / SHIPMENT INFORMATION
BLUE
STOCK # P878
WHITE
STOCK # P877
| COLLAR |
| SLEEVE |
| 11. CIRCLE WHETHER SHIPMENT IS COMPLETE OR PARTIAL |
| QUANTITY SHIPPED |
| MEN’S LONG SLEEVE SHIRT |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
| MEN’S SHORT SLEEVE SHIRT |
| ITEM |
| SHIRT SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL |
COST
VENDOR / SHIPMENT INFORMATION
BLUE
STOCK # P868
WHITE
STOCK # P867
| CIRCLE WHETHER SHIPMENT IS COMPLETE OR PARTIAL |
| QUANTITY SHIPPED |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
| ITEM |
| STOCK NUMBER OF ITEM |
| PANTS SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL COST |
| VENDOR / SHIPMENT INFORMATION |
| CIRCLE WHETHER SHIPMENT IS COMPLETE OR PARTIAL |
| QUANTITY SHIPPED |
MENS PANTS
Waist Sizes (Inseam will be tailored by user) E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
E5704R
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
| ITEM |
| STOCK NUMBER OF ITEM |
| PANTS SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL COST |
| VENDOR / SHIPMENT INFORMATION |
| CIRCLE WHETHER SHIPMENT IS COMPLETE OR PARTIAL |
| QUANTITY SHIPPED |
WOMENS PANTS
Waist Sizes (Inseam will be tailored by user)
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
E5714LC
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
| Women’s Long Sleeve Shirt |
| BLUE |
STOCK # P802LC
WHITE
STOCK P801LC
| SHIRT SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
| Women’s Short Sleeve Shirt |
| BLUE |
STOCK # P812LC
WHITE
STOCK # 811LC
| SHIRT SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
TOTAL
$0.00
BASEBALL CAP – REGULAR
(mesh back not available)
CAP310
| $0.00 |
| COMPLETE / PARTIAL |
SHOULDER WI DOC PATCH
| $0.00 |
| COMPLETE / PARTIAL |
REVERSE USA FLAG PATCH
| $0.00 |
| COMPLETE / PARTIAL |
2-STRIPE CHEVRON PATCH
| $0.00 |
| COMPLETE / PARTIAL |
3-STRIPE CHEVRON PATCH
| $0.00 |
| COMPLETE / PARTIAL |
| ITEM |
| SIZE |
| QUANTITY ORDERED |
| COST PER UNIT |
| TOTAL COST |
| VENDOR / SHIPMENT INFORMATION |
INNER JACKET
#S318Z
OUTER SHELL
#SH3466
| CIRCLE WHETHER SHIPMENT IS COMPLETE OR PARTIAL |
| QUANTITY SHIPPED |
| JACKET |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| $0.00 |
| COMPLETE / PARTIAL |
| |_| |
| |_| |
| TOTAL |
$0.00
| GRAND TOTAL |
| $0.00 |
12. COMMENTS:
| 13. SIGNATURE OF DOC STAFF RECEIVING SHIPMENT: |
| DATE: |
UNIFORM ORDERING INSTRUCTIONS
REQUIRED DATA (ORANGE SHADED) SECTION: In order to process this form, all fields in this area must be completed.
1. Contact Name: Enter the name of the DOC staff member who would be able to answer any questions from the vendor, Black River Industries (BRI), and to whom the completed uniform shipment will be delivered.
2. Location: Select the institution or center that is placing the order, from the appropriate drop down menu.
3. Phone Number: Enter phone number including area code and extension if appropriate, for contact person indicated above.
4. Email: Enter email information for contact person, listed above.
5. Date Order Submitted: Enter date that this form is sent to: DOCuniforms@blackriverindustries.org.
6. Purchase Order Number: Enter PO# assigned to this particular order.
7. Purchase Order Date: Enter date of PO indicated on this form.
VENDOR INFORMATION (BLUE) SECTION: To be completed by Black River Industries Staff Only
8. Enter name of BRI employee who prepared this shipment
9. Enter date that order was shipped.
10. Signature of Delivery person
11. Indicate whether the shipment for each item is complete (entire amount ordered is included in shipment) or partial (less than entire amount ordered is included in shipment).
12. Use Comments section at the bottom of page two, to indicate when any “back ordered” items will be delivered.
13. DOC receiving staff will sign and date form, after verifying received amounts.
14. File this form with your appropriate facility property office.
ITEM SELECTION (GRAY OR UNSHADED) SECTION: Each line under a specific item has a drop down menu for size, collar, sleeve, inseam, etc. Choose the correct amount of the following for each line:
| SIZE (COMBINATION) |
| QUANTITY |
| UNIT COST |
| TOTAL COST |
DISTRIBUTION: Original (DAI & DJC) – Business Office: Official Record (DJC) – Training Supervisor File Page 1 of 4
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