Submit a request – Sardi’s Pollo A La Brasa

Your email address

Subject

Best Contact Phone Number

Store

Please select the store where the issue is occurring.

Department

HR Topic

Required

New Hire or Rehire?

Finance Topics

Nefeli Topics

Description of Issue

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Priority (1-5)

1 is the highest priority, 5 is the lowest

First Name

Last Name

Phone Number

Email Address

Start Date (Please enter the first date the employee will start work)

Company Code

Hourly or Salary

Full Time (40 Hours/Week) or Part Time (8-25 Hours/Week)

Hours Scheduled

Source

ID Confirmation

In order for this request to be processed, I understand that I must attach a Photo ID to this case

Your Full Name

Team Member Name (As Shown on ID)

Last 4 Digits of Employee SSN

Resignation Type (Voluntary or Involuntary)(optional)

Date of Resignation if Voluntary(optional)

Reason for Termination

Circumstances of Termination (be specific, dates, times, and names)

To whom resignation was provided or who handled termination(manager name)

Eligible for Rehire

Employee Not Eligible for Rehire(optional)

Last Day of Work

Check this box if incident involved a customer

Customer Name

Customer Contact Info (Phone number/Email Address)

Check this box if the New/Re-Hire is a Minor (under 18 years of age)?(optional)

Pay Rate (Current)

Pay Rate (Proposed)

Title (Current)

Title (Proposed)

Performance or Other Factors to Support Change

Please check this box confirming you have attached the Employment Verification Form to this Case

I acknowledge this change is not final until it is approved by the Support Center. The team member can be notified ONLY after approval.

Effective Date (At least 2 weeks from Date of Request, All changes effective on Mondays)

From

To

Employment Status Impacts Benefits Eligibility

Holiday to Float (Per Policy - based on employment category, eligibility and exclusions apply)

Date to Be Used

Hours Worked on Holiday

Provide documentation: team member request and micros timesheet showing holiday work hours

Allow one week's processing time.

Check This Box Confirming You have Downloaded the Most Current I9 Form Below

https://www.uscis.gov/sites/default/files/document/forms/i-9.pdf

Reason for Leave(optional)

Time off is expected to be:

Expected Leave Start Date

Expected Leave End Date

Check this box confirming the FMLA Employee Request Form Has Been Attached

https://docs.google.com/document/d/1U7g7EK2eSkVYacD3V7mMBwtsWu7Ac3VY/edit?usp=drive_link&ouid=117042597658557823556&rtpof=true&sd=true

Check this box if the team member plans to use PTO for any portion of this leave

Video Footage(optional)

Is there video footage of the incident and have you attached it to this case?

Date of Incident

Medical Treatment(optional)

Was the incident so severe that the employee decided to seek medical treatment?

PTO Request Timeframe Disclaimer

Checking this box confirms you understand that you must request team member balance at least two weeks in advance of their leave.

PTO Request Full Team Acknowledgment

Checking this box confirms that I understand that I may request full team balances no more than 2x per year. Managers should track balances between requests.

Attachments(optional)

Add file or drop files here