REQUEST FORM
Worx1 HR SAS - NIT 901567797-3
IMPORTANT:
After submitting this request, the form will remain in a pending status while the CX department contacts the account to confirm the request. Once we have the confirmation, HR will proceed with the approval and send it to the email address you provided in the form.
Full name
*
Id number
*
(C.C/C.E...)
Role
*
Corporative Email
*
(email@worx1hr.com)
Account
*
Select
HR
Accounting
Operations
Architecture
Marketing
Clayton
LiteSpeed
Momentum AMP
NWCS
PayCorp
PBM
QPWB
SFBA
Work Injury Rights
Gilson Daub
EPPG Law
Charger Construction of Florida
Shelby Hodges
Gana Pay
Spice Insurance
Admin Ismael
Admin Kyle
Onyx Advising
J. Akin Law
Salt Venture
Worx1 Sales
Ferrer Group Law
CX
QPWB
Trust Plumbing
Permission reason
*
Home Office
Medical appointment
Medical Leave
Domestic Emergency
Personal Diligence
Vacations
No Paid Leave
Paid leave (justified)
Labor Diligence
Work Schedule Change
Other reason
Start date
*
/
Mes
/
Día
Año
2 digit month, 2 digit day, 4 digit year
Finish date
*
/
Mes
/
Día
Año
2 digit month, 2 digit day, 4 digit year
Permission start time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hora
00
05
10
15
20
25
30
35
40
45
50
55
Minutos
AM
PM
AM/PM Option
Permission end time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hora
00
05
10
15
20
25
30
35
40
45
50
55
Minutos
AM
PM
AM/PM Option
Request reason
*
Medical Leave or supporting document
Buscar archivos
Cancel
of
Signature
*
Save
SEND
SEND
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