Employee Call-In Notification
Complete this form when you cannot report for a scheduled shift. You must also call the childcare center. Both steps are required at least four hours before your shift, subject to legally required exceptions.
Scheduled Shift & Absence
Scheduled Shift Start Time
Expected Return-to-Work Date
Administration will determine the final classification after reviewing the circumstances, applicable policies, and any legal protections.
What documentation do you expect to submit?*
Which benefits are you requesting to use?
Requests to use benefits require administrative review and approval, subject to applicable law. Approval depends on eligibility, available balances where applicable, and company policy. Requesting benefits does not automatically excuse an absence.
Employee Acknowledgment
Please check each box before submitting:
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