EMPLOYEES

Time Off Request Form

Please complete the form below to request time off. In order to take time off, you must fill out this form the day you call out sick, or at least two (2) weeks before a planned vacation. If you are sick, you are required to use your sick time. You receive up to 30 hours per year of sick time (based on accrual), and this is noted on your paystubs. If you call out sick for two (2) days or more, you a required to submit a doctor's note. If you call out and are not sick, you absolutely must reschedule or find someone to cover your shift, and you must also fill out the time off request. Contact your supervisor for more information or questions.

 

Name *
Name
Phone *
Phone
Start Date of Time Off *
Start Date of Time Off
End Date of Time Off *
End Date of Time Off
I have notified *

Reimbursement Request Form

Please complete the form below to request reimbursement. Contact your supervisor for more information or questions.

Name *
Name
Date
Date
Please enter the date, description, category and cost for every itemized expense on each line.
$

Materials Request Form

Please use this form to request program materials, assessment binders or Amazon purchase requests. All requests received by Monday at 12:00 p.m. EST will be ready for staff to pick up at the office or will be shipped to you by Thursday at 3:00 p.m. EST. Requests received after Monday at 12:00 p.m. EST will be ready the following week. You will receive an email once your materials are completed confirming they are ready for pick-up.

Staff Name *
Staff Name
Client Name
Client Name
Please be detailed and specific.
I would like these materials