CPR Program Payroll Exception Form
Eastchester EMS
To:
*
Please Select
Mark Baumblatt
Payroll Administrator
From:
*
Please Select
Alessandro Cocking 023071206316
Alex Nechis 03112319623
Chrissy Demo 08160493316
Connor McMullen 08160493315
Danielle Casey 04210942333
Emily Stanson 023079246305
Emily Sullivan 09221102359
Frank Bellantoni 08160494306
Gary Reben 05080839121
Gus Torres 010150372378
Jaime Gomez 023070477704
Jude Valerioti 11150377600
Kaitlin McLoone 1160403082
Kenneth Capellan 09221102353
Kyle Shryock 023077357604
Louis Gentile 09221102355
Mark Tamarin 11140286089
Michael Baumblatt 06210958170
Michael Guarino 06200876072
Michael Mazzilli 023074988986
Nicholas Cruz 09221102354
Nick Louros 01160403298
Nick Malizia 03150312623
Patrick Bryson 08170597973
Richard Pena 09221102356
Robert Raynes 09221102357
Ryan Kahn 07170595695
Sage Richman 09221102358
Sam Shedden 023070949636
Scott Mikos 03060028392
Victoria Mancini 023076509868
Georgina Torres 23119478720
Samjo Samson 23110031063
CPR Instructor
E-mail
*
Phone Number
*
Division
*
Please Select
CPR PROGRAM
OTHER
Explanation
*
CPR/BLS Class - ($150) 3 Hours
CPR Coordinator Setup - ($50) 1 Hour
Other
Date Class Taught:
*
-
Month
-
Day
Year
Date Picker Icon
Start Time
*
Hour Minutes
End Time
*
Hour Minutes
Location of Class
*
Employee Signature
*
Approving Manager
*
Please Select
Nicholas Malizia - Co-CPR Coordinator/TCC
Danielle Casey - Co-CPR Coordinator
Mark Baumblatt - Payroll Manager
Submit
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