Staff – Emp Request Forms

Employee Request Forms

Paid / Unpaid Time Off Request Form

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YYYY dot MM dot DD
Name(Required)
Note: Please Request all times within 1 week (Sunday to Saturday). Please submit any other weeks on seperate forms.(Required)
IF "Amount PTO" field is left blank , accrued time will NOT be used. If the request is under 2 weeks, PTO MAY NOT be approved. Explanation below required if less than 2 weeks. If more than a week submitted, PTO may not be credited on payroll and you may be asked to resubmit.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
MM slash DD slash YYYY
Please enter a number less than or equal to 8.
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I acknowledge that "IF" this Schedule Request is less than 2 weeks notice, my PTO may be denied "AND" I will call the office immediately after submitting. (Short Notices need to be reported to Office Administration for Scheduling Purposes)(Required)
Call immediately - If after hours, call and press 0 to speak with the on call manager. Leave Voicemail if not answered.
Why needed and why if less than 2 weeks.

Weekly Availability Change Form

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YYYY dot MM dot DD
Name
MM slash DD slash YYYY
Schedule change requests must be made 2 weeks in advance
In the fields below, please enter your requested availability in the following format: 8a-5p, 12p-6p
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
 
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I want all the info
This field is for validation purposes and should be left unchanged.

PPE - Personal Protective Equipment - Form

Name(Required)
Select All That Apply