Online Order Request
For emergency manpower please contact us at 855-To-Man-Up (855-866-2687)
Please tell us a little about who is placing the order
Your Name *
Person requesting manpower
Your Company *
Your Email address *
Your Phone number *
Enter the best number to reach you
Who is your PLS Account Manager?
Tell us about your project
Project Title and Address *
What is your project and where would you like to man up? (Name, Address, City, ST, ZIP)
Who will our PROs report to?
What is the Supervisors name, contact number and email address?
Supervisors Contact Number
Supervisors Email Address
Requested Start Date: *
What day do you need the PLS Pro(s) to start?
MM
/
DD
/
YYYY
Estimated End Date:
How long do you anticipate the assignment will last?
MM
/
DD
/
YYYY
Work Hours
Estimated daily schedule (i.e. 7:00AM - 4:00PM)
Hours per week
Estimated hours worked each week
Is there a PO # for this project?
If there is please provide it here:
List any specific order requirements: (check all that apply) *
Required
Describe any unusual tasks or potential hazards: (check all that apply) *
Required
Please list special PPE Required:
PLS will provide a hardhat, safety glasses, cut resistant gloves, hi-vis vest, hearing protection, a fall protection harness and lanyard. Is anything required above and beyond what PLS provides?
Site Orientation
Does this project provide a site orientation? If YES, please provide details such as the dates and times the orientation is offered.
Special Site Instructions
Please list if any
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