Use this Agency Request Form to request agency staffing for retail or facilities sites. Capture date of request, preparer, client, site name, and dates required. Enter the agency engaged, daily hours for Monday to Sunday, charge rate per hour, and total cost. Provide a brief business case to justify the request. When complete, follow your internal instructions to email the form to the helpdesk. This template is an example to help you get started and should be reviewed for suitability in your workplace or jurisdiction.
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