Call-outs, Emergencies & Time-Off

Please fill out the form to inform Human Resources, Dispatch and ZENA Management of any days you will not be able to work, for whatever reason.

Name

First Name

Last Name

Mobile Phone

(###)

###

####

Reason for Calling Out

Please select option that applies

Date of Call-Out

State the date you will NOT be at work

MM

DD

YYYY

Date of Return

State the date you will RETURN to work

MM

DD

YYYY

Are you sure you will return to work on that date?

Select YES if you are 100% sure you will return to work on the date you specified above. Select NO if you are NOT SURE if you will can return on your next scheduled date. Please provide details below.

If NO, tell us why?

Note: If you are not sure, we will remove you from the schedule until you confirm with 100% certainty you can return to work on your scheduled day.

NOTE:
You must ALWAYS use the form to call out, however, in case of an urgent emergency contact:

ZENA DISPATCH 845-670-2591

HUMAN RESOURCES

Jessica Dietze 845-670-2115

Erin Piazza 845-779-3833