Pickleball Registration

Flex Modification Request
This form is to be used to request a change to a scheduled flex day in accordance with the Plum Borough Policy Manual, section 8.6 "Alternative Work Schedules."

Requests must be submitted to the employee’s immediate supervisor a minimum of 48 hours in advance of the requested day(s).

Employees are responsible for ensuring that the use of flex days do not interfere with Borough operations or esult in an undue burden on coworkers. Flex day changes should be coordinated in a way that maintains continuity of service and respects the workload of fellow team members.
Name*

First NameLast Name
Email*
example@example.com
Scheduled Flex Date*

MonthDayYear
Desired Flex Date (Modification)*

MonthDayYear
Reason for request:*
Supervisor:*
Should be Empty:

Flex Modification Request