PST Request Form – Pennsylvania Payroll Associates

PAID SICK TIME (PST) REQUEST FOR PENNSYLVANIA PAYROLL ASSOCIATES:

Philadelphia Paid Sick Time
Effective May 2015, employees who work within the City of Philadelphia limits will be eligible to earn paid sick leave. Employees are eligible to earn 1 hour of sick time for every 40 hours worked. Up to a maximum of 40 hours of PST may be used as sick leave. Earned but unused PST may be taken on the 91st calendar day of the effective date of the city-specific sick pay mandate or on the 91st calendar day of employment, whichever is later. Atrium’s calendar year is defined as January 1 to December 31.

Paid sick time may be taken in four (4) hour increments. If the sick leave is foreseeable, you must verbally notify your immediate supervisor and Atrium counselor no more than seven days in advance of the need for leave. PST is paid at your current hourly rate.

If your assignment ends at any point, earned but unused PST is not paid out. If you go back to work within six (6) months, and have met the eligibility requirements, you are able to use earned sick time accrued before the break in service.

You must be on an active assignment to be eligible for a PST payment, and submission may not be more than 14 days from the date of request.

*PST may only be requested in 4-hour increments up to 8 hours per day.

Pittsburgh Paid Sick Time
Effective March 15, 2020, employees who work within the City of Pittsburgh limits are eligible to accrue earned sick time on all hours worked at a rate of one (1) hour of earned sick time for every 35 hours worked and use up to 40 hours per calendar year. Atrium’s calendar year is defined as January 1 to December 31.

Earned sick time may be taken on the 91st calendar day of the effective date of the Pittsburgh sick pay mandate or on the 91st calendar day of employment, whichever is later. Any earned but unused PST may be carried forward into a new calendar year. Paid sick time may be taken in one (1) hour increments. If the sick leave is foreseeable, you must verbally notify your immediate supervisor and Atrium counselor no more than seven days in advance of the need for leave. PST is paid at your current hourly rate.

If your assignment ends at any point, earned but unused PST is not paid out. If you go back to work within six (6) months, and have met the eligibility requirements, you are able to use earned sick time accrued before the break in service.

You must be on an active assignment to be eligible for a PST payment, and submission may not be more than 14 days from the date of request.

Associate Information

Name*

First Last

Client for which you are currently working:*

Phone*

Email*

Paid Sick Time Information

PLEASE INDICATE YOUR APPROVAL:*

Paid Sick Time Request: I am choosing to use PST

In which city do you currently work:*

Only Payroll Associates who are currently WORKING in the cities below are eligible for Paid Sick Time. If you do not work in one of the cities listed below, you are not eligible to request PST. Please note, PST ordinances are available in eOffice, if further clarification is required.

Philadelphia
Pittsburgh
Other

If you do not work in Philadelphia or Pittsburgh, you are not eligible to request PST.

Date of PST Requested*

Number of Hours Requested*

*PST may only be requested in 4-hour increments up to 8 hours per day

Number of Hours Requested*

*PST may only be requested in 1-hour increments up to 8 hours per day

Additional Date of PST Requested

Number of Hours Requested

*PST may only be requested in 4-hour increments up to 8 hours per day

Number of Hours Requested*

*PST may only be requested in 1-hour increments up to 8 hours per day

Additional Date of PST Requested

Number of Hours Requested

*PST may only be requested in 4-hour increments up to 8 hours per day

Number of Hours Requested*

*PST may only be requested in 1-hour increments up to 8 hours per day

Reason for request:*

Care for yourself
Care for a family member
Official public pronouncement

Eligibility Requirements:

Your PST request will be reviewed by Payroll to ensure eligibility requirements have been met. Please allow 7-14 business days for approval and processing of payment. If eligibility requirements are not met, Payroll will contact you.

pAId sick time request

pennsylvania

Associate Information

Paid Sick Time Information

Eligibility Requirements:

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