Please complete this checklist at the start, middle and end of every shift.
Please submit this form to report a facility issue (i.e. broken equipment, ceiling leak, etc)
Submit this form to report an injury or dangerous occurrence
Submit this form to give a teammate a shout out or report a miss
Submit this form if you need to change your shift and have found coverage. For extended time off, use the Time Off Request Form.
Submit this form to request extended time off
*Part-Time Employees Only
(Full-Time Employees submit via Rippling)
Add your requests to this sheet with as much detail as possible
Submit all member feedback and requests via this form