Supervisor Exception Form

Please complete this form for NEW HIRES or employees that require a REPLACEMENT or ADDITIONAL pair of safety eyewear (as an exception to the program).

Once submitted, you will receive email confirmation that the form has been accepted and the employee can then place their order through SVS Vision or an Authorized Provider.

Existing employees that are eligible for a pair of safety eyewear, do not need this form submitted. Please see the Benefit Overview for details.

If you have any questions, please contact our Safety Support Team at (800) 787-6300 or safetysupport@svsvision.com