UNPLANNED
EMERGENCY CHANGE
If you are sick, late or have to leave early
Best
(1) inform your teammate
,
(2) text group for
Sub
if needed.
(3) Complete this Report. This will notify
Shift Manager, HR, Medical IC directly
Staff Name*:
Your Email*:
Date Affected:
Reason:
= SELECT =
Sick
Emergency
Other - See Notes
Forget to Clock-In
Forget to Clock-Out
Time & Notes:
If this is medical, let Dasha know
Any Substitutes:
Not needed
Yes
Prefer
If Yes, Who:
Pre-Approved?:
= Not Yet =
Dasha MD - Medical I.C
Shift Manager
Leo
HR Kate
=>
HR Admin 2023
Avalon Mail Center
3564 Avalon Park E Blvd, Ste 1, Orlando
