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Hourly Staff – Sick Time Off Request (Paid and Unpaid)
Hourly Staff - Sick Time Off Request (Paid and Unpaid)
Form filled out Date and time
Proper procedure is necessary to ensure approval of your time off request and to secure a substitute for missed shifts. Please read the instructions carefully and follow up with your department leader.
For pre-planned, scheduled time off,
complete the form on the next screen. Your department leader will contact you within 24 hours of submission, if not, follow up. Once you have confirmed approval of your request, post a Shift Coverage Form on the bulletin board. Ask your co-workers to sub for you!
For unscheduled absences (usually 24 hours notice or less),
text ALL your department leaders immediately. If you do not receive a response within 15 minutes, text AGAIN! If you do not receive an answer within 20 minutes from your first text, call the front desk at (480) 961-7946. You may followup by submitting the form on the next screen but in no way should this be a substitute for immediately speaking directly with one of your department leaders.
Please consult the Employee Handbook for additional details regarding sick paid time off. This request may not qualify for paid time if within the first 90 days of employment or if you have exhausted your earned sick hours. This request is for informational and documentation purposes only. All rules regarding sick paid time off established in the Employee Handbook supersede this request. You will be notified by a department leader if sick paid time off applies to this request.
Employee Information
First Name
*
Last Name
*
Email
*
Request for the following hours off:
Date
*
Date Format: MM slash DD slash YYYY
Hours
*
Reason for Request
Departments
*
Please select ALL the departments that will be impacted if this request is approved.
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Additional Days
Would you like to request an additional day(s)?
Yes
Date
*
Date Format: MM slash DD slash YYYY
Hours
*
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
Total Hours Requested
Please confirm total.
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