Return-to-Work Gift Request Form

Return-to-Work Gift Request Form
Request a welcome-back gift for employees returning to the workplace. Please complete all required fields to ensure prompt processing.
Your Full Name
First NameLast Name
Your Email Address
example@example.com
Your Department
Employee Returning to Work (if different from requester)
First NameLast Name
Employee Position/Title
Preferred Gift Option
Other (please specify below)
If Other, please specify your preferred gift
Reason for Return-to-Work Gift
Other (please specify below)
Preferred Delivery Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Delivery Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Special Instructions or Comments
Manager or HR Approval Name
First NameLast Name
Manager or HR Approval Email
example@example.com
I confirm that the information provided is accurate and this request complies with company gift policies.
Should be Empty: