Please fill out this form completely to request the required information or clarification regarding HR policies, benefits, or other inquiries.
Please select the type of information you are requesting
HR Policies
Benefits Information
Payroll Inquiry
Work Hours/Leave Request
Please provide a detailed description of the information you are requesting
Please select the urgency of your request
High (Immediate response needed)
Medium (Response needed within the next 2-3 days)
Low (No immediate response required)
How would you prefer to receive the information?
Phone
In-person Meeting
By signing this form, I confirm that I understand the request and authorize HR to provide the information as outlined.
Name:
Date:
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