Severe Weather Meal Voucher Request Form

This form is for use by department managers or designees to request meal vouchers for Severe Weather Critical employees in their departments who are required to work extended hours during the Severe Weather Plan.

All fields are required.

 

Unit name:
     
Do these employees provide clinical care?
Contact phone number:
Number of meal vouchers needed:
Manager or Designee:
Manager or Designee's phone number:

Manager or Designee's e-mail address:

Please click submit ONLY once.
  

 

  

 

 

 

 

Quick Reference

Important Numbers

Main 336-716-2011
Patient Info 336-713-0000
Media 336-716-4587
Jobs 336-716-4717

Ways to Give
USNWR 2013-2014Magnet Hospital RecognitionConsumer Choice2014 Best DoctorsJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.