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SafetyCulture
Template

Agency Request Form

by GSA Helpdesk, from the Community

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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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With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.