Paid Holidays	cancel
(fields in bold are required)

Lloyd Staffing rewards those associates who work during a week with a holiday! Any or all of the following can be paid holidays for you if you have worked 1,250 hours during the 12 months preceding the holiday, plus the business days before and after the holiday. New Year's Day Memorial Day Independence Day Labor Day Thanksgiving Christmas You will be paid for your average daily hours for current assignments, to a maximum of seven hours.
I worked:	--Select Holiday--New Year's DayMemorial DayIndependence DayLabor DayThanksgivingChristmas*
My home office is:	--Select Office--Melville, NYBaltimore, MDCharlotte, NCFairfield, CTGreat Neck, NYHolbrook, NYLyndhurst, NJNew York, NYParsippany, NJPlantation, FLScranton, PASchaumburg, ILStamford, CTTampa, FLTorrance, CAWhite Plains, NY
First Name:
Last Name:
SSN#:	(999-99-9999)
Address:
City:
State:	--Select Region--AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNew York - Long IslandNew York - New York CityNew York - WestchesterNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip:
Phone:	(999-999-9999)
Email:
* - I understand that I must have worked the business days before and after this holiday in order to be paid.
	(fields in bold are required)