Report Form to Document Scheduling Problems - Health Professionals & Allied Employees

Report Form to Document Scheduling Problems

Our contract contains provisions on the use of Paid Time Off (PTO) which ensure that requests are handled fairly and in a timely fashion. We also have contract language which addresses flexing and cancellation.

Provisions which ensure that PTO requests are not unreasonably denied are found in Sections 10.02 F, G, and J. 

Contract language  on cancellation of extra shifts is found in Section 10.03E and flexing language is found in Section 10.11.

We want to know if you are experiencing any problems with the denial of PTO requests, flexing or cancellation of extra shifts.  Please fill out the form below to provide us with the relevant information about any of these issues.

    Your Name

    Your Email:

    Your Cell or Home Phone Number:

    Your Seniority Date:

    Your Unit or Department:

    Your Shift:

    Your Manager:

    Scheduling Issue - Choose One from the Drop Down Menu:

    If a cancellation or flexing problem, date of occurrence:

    If a cancellation or flexing problem, use the box below to provide more details:

    If a denial of PTO, date the PTO request was made:

    PTO Days Denied:

    Reason for Denial of PTO:

    Date Your Manager Informed You of the Denial of PTO: