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CITY OF CUBA CITY 1201 Civic Center Blvd. Cuba City, CA 95993SAFETY SHOE AUTHORIZATION From This form authorizes the purchase of one pair of safety shoes or boots Additional purchases (e.g., insoles,

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First, determine the correct size of safety footwear for the individual.

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Make sure the safety footwear is suitable for the type of work environment and meets any specific safety regulations.

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