VIVA STAR - Rewards Redemption Form​

Employee Name

E-mail Address

Office

CHOOSE REWARD(S)

Items awarded depending on current availability or while supplies last

ONE COIN

TWO COINS

THREE COINS

FOUR COINS

Half Paid Day Off Maximum of 4 per year is allowed. Requires supervisor approval. If requesting half day off enter date requested below:

FIVE COINS

SIX COINS

If selecting VIVA T-Shirt Select Size:

EIGHT COINS

Half Paid Day Off Maximum of 2 per year is allowed. Requires supervisor approval. If requesting one day off enter date requested below: