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Forms & requests

Ask for something

Pick what you need. Each request goes to the person who handles it, and you get a copy by email.

Time off request Goes to your supervisor, who replies by email. Clock hours in Paylocity as usual. For example

A vacation day or a long weekend
A doctor’s appointment or a sick day
Jury duty, a funeral, or a family need

Supply request Goes to the Operations Manager. For example

Printer paper, ink, or pens
Group workbooks or handouts
Naloxone kits, first aid supplies, or drug test cups

IT help request Goes to whoever handles IT. For example

Reset a password, or you’re locked out of email or the EHR
Your laptop or iPad isn’t working
The camera or sound isn’t working for telehealth
An account for someone new

Training, CEU, or license submission Goes to your supervisor for approval, then onto your training record. For example

You finished CPR or naloxone training
You renewed your license or certification
You attended a CEU webinar

Emergency contact update Only leadership sees it. For example

You moved, or your contact’s number changed
You want to add a second contact

How-to guides Step-by-step guides for everyday tasks. For example

Review my pay stub
Reset my email password
Set up my email signature

Job referral Know someone who’d be great here? Tell us before they apply. For example

A former coworker who’s a great therapist
A friend in recovery who’d be a strong peer specialist

Question for Operations Common questions are answered right there. Anything else goes to Operations. For example

How much PTO do I have, and when can I use it?
My paycheck looks short
I need a letter proving I work here
When do my benefits start?

Need a workplace accommodation (disability, pregnancy, or religious)? Talk to your supervisor or any member of leadership. You can ask out loud; there’s no form to find first. For pay stubs, W-2s, or direct deposit, use Paylocity.