Campbell Organisation

Wage Adjustment Request HR-2

Please fill in this form to request a wage adjustment

First Name: A value is required.

Last Name: A value is required.

E-mail Address: A value is required.Invalid format.

Crew Code A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

Store:

What type of wage adjustment are you requesting?

If you are requesting Sick Leave for three days or more, a medical certificate is required. You must give this to your Restaurant Manager or Assistant Manager. DO NOT give to any Manager.

If you failed to clock in or out correctly, missed hours, or did a split shift, print the receipt, have the shift manager endorse it and then hand to your Assistant Manager or Restaurant Manager

Your wage adjustment request will be processed if you are eligible for that leave and have that leave currently available.. For example, if you have any sick leave currently accrued. Refer to your McDonald's Employment Agreement for further information.

First Date it applies to A value is required.Should be dd/mm/yy

Last Date it applies to A value is required.Should be dd/mm/yy

How many hours? A value is required.

Comments:

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