Strike Review Request
If you think you received a strike in error, you may complete this form. Having one strike is common and you can remove strikes by working 5 shifts in a row with perfect attendance & no disciplinary problems.

DO NOT FILL OUT THIS FORM IF:
• you were late to your shift FOR ANY REASON
• you left your shift early
• you missed your shift due to a doctor's appointment

FILL OUT THIS FORM IF:
• you received a strike because of a clock in/clock out error
• your shift manager disputed the time you worked
• someone at Moonrise asked you to fill out this form

Email address *
Please provide your first and last name below *
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