Employee safety eyewear benefit

Order non-prescription safety eyewear

Have your employee ID and store number ready. This path skips the prescription upload section.

This is your covered eyewear benefit. No payment card needed. Pick your frame, submit the form, and the order ships to the store you enter.

1EmployeeID and contact
2StoreWhere it ships
3SubmitNo prescription upload

Before you start

Employee ID
Store number

You're ordering XL Vise Z87

XL/wide one-size frame

Locked from frame picker

XL fit confirmation This is an XL or wide-fit Vise. Choose it only if you need extra frame width or more lens height.

"*" indicates required fields

Quantity*

Please enter a number from 1 to 20.

One pair per employee. Managers ordering for a team may enter up to 20.

Employee Information

Please enter your information below. Simply complete the following steps to submit your order:

1. Verify your personal and shipping details.
2. Verify your preferred lens option.

Once you've submitted your order, we'll begin processing it and keep you updated on its status.

Employee ID*

Used to match your employee benefit order.

Store name, city, or number*

Start typing your store number, city, or store name.

First Name*

Last Name*

Employee Contact Information

This information lets us reach the employee about their order and let them know when their glasses ship.

Employee Cell Phone*

Personal email*

Use a personal email address so we can send your confirmation and remind you when next year's pair is ready.

Magnification

Choose No magnification for plain safety glasses.

This field is hidden when viewing the form

Status

Shipped

Not Shipped

Comments

This field is for validation purposes and should be left unchanged.