Crisis Lines Time Off Form Logo
  • Crisis Lines Time Off Form

  • Please complete this form for any shift where you will be coming in late, leaving early, taking time off in the middle of your shift, or calling out of the entire shift. Please also use this form for any shift trades or shift coverages. Shift/trades and coverages will either show up on the staffing sheet or in your BI schedule depending on how far away the trade is. We ask that you follow all shift/trade guidelines when doing shift trades. For more information see our Attendance Policy.


    This form is not for vacation/PTO requests. Please submit any vacation/PTO requests directly into ADP with more than 2 weeks notice.

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  • What are the start and end times of the extended mid-shift break?
    (Please list them in the Pacific Time Zone):

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  • Please troubleshoot with your supervisor. If the problem still persists, please submit a Help Desk ticket here: https://linesforlife.sd.cloud.invgate.net/portal 

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  • Should be Empty: