Pay Correction Request Form

Pay Correction Request Form

This Form is ONLY for use by Fetch Delivery Partners who have been paid incorrectly/Este formulario es SOLAMENTE para uso de Fetch Delivery Partners a quienes se les pagó incorrectamente
Full Name/Nombre completo (Name listed in Deputy)*

First NameLast Name
Email Address (the one you used to apply with)/Dirección de correo electrónico (la que usó para aplicar)*
example@example.com
Phone Number/Número de teléfono*
Please enter a valid phone number.
Warehouse Location/Ubicación del almacén (Check Fetch Delivery App to Confirm Warehouse Code)*
What Type of Pay are you Missing?/¿Qué tipo de pago te falta?*

Base PayExtra PayOverfill PayTiered PaySurge PayBonus
Date of Delivery Block/Fechas de falta de pago*
Delivery Window*
Total Dollar Amount Missing/Cantidad total en dólares que falta*
Please Provide any Other Relevant Information for Payroll to Know (Surged Shifts Missed, Specific Time of Shift, etc...)/Proporcione cualquier otra información relevante para que la nómina sepa (turnos perdidos, hora específica del turno, etc.)*
Have you already filled out a Pay Correction Form for this same date and delivery window?*
Should be Empty: