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City/State Paid Sick Time Requests
City/State Paid Sick Time Request Form
Please note that you can only use City/State Paid Sick Time if you have time available. To verify your available PST hours, please check your paystubs at https://workforcenow.adp.com or on the Workforce App. If you have questions regarding your balance, please contact an Integrity representative. PST balances will be verified by the Payroll Team before processing. Requesting PST without an available balance may result in the accumulation of credits or the application on ATO.
Today's Date
(Required)
MM slash DD slash YYYY
Associate Name
(Required)
Associate Email
Last 4 of Social Security Number
(Required)
Date of Sick Pay Request
(Required)
MM slash DD slash YYYY
Number of Hours Requested
(Required)
Electronic Signature Disclosure By providing your electronic signature, you agree that your electronic signature is the legal equivalent of your manual/handwritten signature. Your electronic signature has the same validity and enforceability as a signed paper document under applicable federal and state laws, including the U.S. Electronic Signatures in Global and National Commerce Act (ESIGN) and the Uniform Electronic Transactions Act (UETA).
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Find Your Job
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Expand
Job Search
Benefits
Associate Portal
Hire Associates
Toggle child menu
Expand
Solutions
Toggle child menu
Expand
High-Volume & Temp Staffing
Employee Safety
Business Continuity
Direct Hire
RPO
MSP VMS
Compliance
IntegrityONE Staffing Solutions
Industries
Toggle child menu
Expand
Light Industrial & Logistics
Ecommerce
Business & Professional
Call Center
General Staffing
Food Industry
Manufacturing & Assembly
OEM
Resources
Toggle child menu
Expand
Work / Life Blog
Integrity Insights
Podcasts
Case Studies
White Papers
Infographics
Checklists
About
Toggle child menu
Expand
Meet Our Team
Internal Careers
Integrity News
Supplier Diversity
Diversity, Equity & Inclusion
Partnerships
Technology
Project Home
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Contact Us