PST Request Form – Arizona Payroll Associates

pAId sick time request

arizona

PAID SICK TIME (PST) REQUEST FOR ARIZONA PAYROLL ASSOCIATES:

Effective as of July 2017, Atrium Payroll Services Associates that work in Arizona are eligible to accrue earned sick time on all hours worked at a rate of one (1) hour of earned sick time for every 30 hours worked and use up to 40 hours per calendar year. Atrium’s calendar year is defined as January 1 to December 31.

Earned sick time may be taken on the 91st calendar day of the effective date of the Arizona sick pay mandate or on the 91st calendar day of employment, whichever is later. Any earned but unused PST may be carried forward into a new calendar year.

Paid sick time may be taken in one (1) hour increments. If the sick leave is foreseeable, you must verbally notify your immediate supervisor and Atrium counselor no more than seven days in advance of the need for leave. PST is paid at your current hourly rate.

If your assignment ends at any point, earned but unused PST is not paid out. If you go back to work within nine (9) months, and have met the eligibility requirements, earned unused sick time accrued before the break in service will be reinstated.

You must be on an active assignment to be eligible for a PST payment, and submission may not be more than 14 days from the date of request.
Associate Information
Name*
First Last
Client for which you are currently working:*
Phone*
Email*
Paid Sick Time Information
Please indicate your approval:*
- Paid Sick Time Request: I am choosing to use PST
City & State You Work In:*
Date of PST Requested*
Date Format: MM slash DD slash YYYY
Number of Hours Requested*
*PST may only be requested in 1-hour increments up to 8 hours per day
Additional Date of PST Requested
Date Format: MM slash DD slash YYYY
Number of Hours Requested
*PST may only be requested in 1-hour increments up to 8 hours per day
Additional Date of PST Requested
Date Format: MM slash DD slash YYYY
Number of Hours Requested
*PST may only be requested in 1-hour increments up to 8 hours per day
Reason for request:*
- Care for yourself
- Care for a family member
Eligibility Requirements:
Your PST request will be reviewed by Payroll to ensure eligibility requirements have been met. Please allow 7-14 business days for approval and processing of payment. If eligibility requirements are not met, Payroll will contact you.

pAId sick time request

arizona

Associate Information

Paid Sick Time Information

Eligibility Requirements:

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