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YCHC Employee Resource Page

Human Resources

Leave Request App

Travel Notification & Return to work plan

YTT Relias Request Form

Employee Separation Notifications

Telework Journal

Exit Interview form

YCHC New Hire Access Request
Please give 5 business days to process New Hires.

YCHC Coaching Form

Position Request Form

Contract Request Form

IT Forms

IT Work Request Form

Information Security Incident Report

IT Work Request Form - Billing

IT Event/Presentation Request Form

Early In/Out Form. (Advertise and doors)

Communications

Request for Advertising for Clinics, Events, or Projects

Workers Compensation

Report an Injury & File a Workers Compensation Claim

Employee Injury and Workers Comp Application packet

COMPLIANCE OFFICER or SUPERVISOR reporting steps

Safety

Incident Report Form

Complaints and Comments Form

Facilities

Facilities Work Order Request Form

Custodian Work Order Request Form

Travel Training Request Form

Post Travel Training Report

Contract Travel and Accommodations Request

Change/Cancel Request for Contract Travel & Accommodations

Travel Forms

Inventory

All purchase requests are now going through Microix. If you need to place an order request and need training in Microix, please reach out to Mickell.

Finance

ACH/Wire Transfer Request

Contract Review and Approval Form

Credit Card Request

Credit Card Reimbursement Agreement

Credit Card Voucher Preauthorization

Child Care

YTT/YCHC Day Care Requirements

Dental

Dental Referral Form

Medical

Add a New Medical Supply

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