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 answer
Your Company *
Your answer
Your Email address *
Your answer
Your Phone number *
Enter the best number to reach you
Your answer
Who is your PLS Account Manager?
Your answer
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)
Your answer
Who will our PROs report to?
What is the Supervisors name, contact number and email address?
Your answer
Supervisors Contact Number
Your answer
Supervisors Email Address
Your answer
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)
Your answer
Hours per week
Estimated hours worked each week
Your answer
Is there a PO # for this project?
If there is please provide it here:
Your answer
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?
Your answer
Site Orientation
Does this project provide a site orientation? If YES, please provide details such as the dates and times the orientation is offered.
Your answer
Special Site Instructions
Please list if any
Your answer
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