First Name *Last Name *Employee ID *Email Address *PositionAgentPSAOSMKeyAction Requested in Relation to: *LAWA Badge / Delta IDLeave of AbsensePayrollScheduleSchedule Related ActionsIssue PTOPTO RelatedEarly OutName *0 / 50Employee ID/PPR *Date *Scheduled Start Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Scheduled End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Early Out Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Schedule Related Actions *Schedule Related ActionsShift SwapDouble Shift SwapJury Duty SummonsOne Way SwapPartial Shift SwapSchedule - OtherConsent *I understand and acknowledge the following: • New employees may not swap during their first three months of employment.• Swaps are permitted between employees within the same department and job category (including Seasonal Agents), or between employees in different, but related, work areas provided they are current and compliant in training and knowledge of each other's responsibilities and job duties.• Regular benefitted employees must maintain an average of 20 hours of paid time per week over a rolling three-month period and are responsible for monitoring their own hours to ensure that this average is always met or exceeded. Employees can determine this by reviewing their last six paychecks (biweekly or semi-monthly) or 12 paychecks for weekly and ensuring that they have been paid a total of 240 hours or greater. When this requirement is not met, swap privileges may be suspended.• Seasonal employees must ensure that they remain within the minimum and maximum hours allotted for the 12-month review period (October 16 – October 15 of the following year).• Swaps are to be arranged during off-duty time, breaks, or lunch.• Request for all swaps must be requested at least two days prior to the shift date.• Requests for swaps submitted within two days of the shift will need leadership approval.• It is the responsibility of the employee picking up the shift to ensure that the swap is requested and approved in advance after agreement with the other employee.• Once a swap is approved, the employee who swaps to work is responsible for that shift and it becomes their regular workday. The employee will be paid for any applicable shift differential forthe shift worked.• A swap can only be canceled if both employees agree to the cancellation and cancellation is requested more than two days in advance of the shift. Please note, all cancellations must be entered and processed in MPS.Date *My Current Scheduled Start Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My Current Scheduled End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My New Requested Start Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My New Requested End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Full Name - 2nd Employee *Employee ID/PPR - 2nd Employee *2nd Employee - Current Scheduled Start Time *00000000003001000130020002300300033004000430050005300600063007000730080008300900093010001030110011301200123013001330140014301500153016001630170017301800183019001930200020302100213022002230230023302nd Employee - Current Scheduled End Time *00000000003001000130020002300300033004000430050005300600063007000730080008300900093010001030110011301200123013001330140014301500153016001630170017301800183019001930200020302100213022002230230023302nd Employee - New Requested Start Time *00000000003001000130020002300300033004000430050005300600063007000730080008300900093010001030110011301200123013001330140014301500153016001630170017301800183019001930200020302100213022002230230023302nd Employee - New Requested End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Consent *I understand and acknowledge the following: • New employees may not swap during their first three months of employment.• Swaps are permitted between employees within the same department and job category (including Seasonal Agents), or between employees in different, but related, work areas provided they are current and compliant in training and knowledge of each other's responsibilities and job duties.• Regular benefitted employees must maintain an average of 20 hours of paid time per week over a rolling three-month period and are responsible for monitoring their own hours to ensure that this average is always met or exceeded. Employees can determine this by reviewing their last six paychecks (biweekly or semi-monthly) or 12 paychecks for weekly and ensuring that they have been paid a total of 240 hours or greater. When this requirement is not met, swap privileges may be suspended.• Seasonal employees must ensure that they remain within the minimum and maximum hours allotted for the 12-month review period (October 16 – October 15 of the following year).• Swaps are to be arranged during off-duty time, breaks, or lunch.• Request for all swaps must be requested at least two days prior to the shift date.• Requests for swaps submitted within two days of the shift will need leadership approval.• It is the responsibility of the employee picking up the shift to ensure that the swap is requested and approved in advance after agreement with the other employee.• Once a swap is approved, the employee who swaps to work is responsible for that shift and it becomes their regular workday. The employee will be paid for any applicable shift differential forthe shift worked.• A swap can only be canceled if both employees agree to the cancellation and cancellation is requested more than two days in advance of the shift. Please note, all cancellations must be entered and processed in MPS.Date *My Current Scheduled Start Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My Current Scheduled End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My New Requested Start Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330My New Requested End Time *0000000000300100013002000230030003300400043005000530060006300700073008000830090009301000103011001130120012301300133014001430150015301600163017001730180018301900193020002030210021302200223023002330Name - 2nd Employee *Employee ID/PPR - 2nd Employee *2nd Employee - Current Scheduled Start Time *00000000003001000130020002300300033004000430050005300600063007000730080008300900093010001030110011301200123013001330140014301500153016001630170017301800183019001930200020302100213022002230230023302nd Employee - Current Scheduled End Time *00000000003001000130020002300300033004000430050005300600063007000730080008300900093010001030110011301200123013001330140014301500153016001630170017301800183019001930200020302100213022002230230023302nd Employee - New Schedule *Off DayJury Duty Summons is received in the mail usually 30-45 days in advance notwithstanding distribution errors. Please inform us of your Jury Summons 14 days in advance.Use the following link to see an image of a Jury Summons and where the requested information will be found:Jury PortalJuror ID Number *(Do Not Enter Preceding Zeros)Pin Number *Jury Summons Start Date *- I understand and acknowledge that my Jury Duty Schedule will override any and all concurrent PTO requests and Swaps that I may have. - I understand and acknowledge that my Regular Day Offs may have to be rescheduled and adjusted to meet the scheduling requirements of my Jury Summons.LAWA Badge / Delta ID Related Actions *LAWA Badge / Delta ID Related ActionsLAWA Badge - NewLAWA Badge - RenewLAWA Badge - Lost / Stolen / DamagedLAWA Badge - ExpiredLAWA Badge - OtherDelta ID - Lost / StolenDelta ID - Damaged / Worn OutDelta ID - OtherConsent *For lost/stolen/damaged LAWA Badges, an OSM or other leader must be informed prior to processing an application for a new badge. I acknowledge that I have already informed an OSM or other leader. Name of OSM / Leader that I have informed: *If you have NOT yet made an appointment with the LAWA Badge Office, please do so through the following site (Company Codes: Below Wing OPS - 047601 / Above Wing Psgr Svcs - 047604 / Flight Crew - 047606):LAWA Badge AppointmentI have made a badge appointment with the LAWA Badge office.My LAWA Badge Appointment date is on: *-I understand that a Badge Paperwork Assistance appointment with the ESC needs to be done within 14 days of my LAWA Badge Appointment. -I understand that a Badge Paperwork Assistance appointment with the ESC is available 24-hours in advance and appointments within 24 hours/same day will require an OSM approval.If your Delta ID has been lost/stolen you must print and fill out the following document and bring it to your ESC Appointment: Lost / Stolen Delta - ID I have printed and filled out the "Lost / Stolen Delta - ID" form and am ready to make an ESC Appointment.Available ESC Appointments: You will need to bring two forms of ID to process badging applications. You can click here to view the list of valid documents: Valid Documents After making an ESC Appointment, you may click on 'Submit Request' to confirm your request.I understand that if my Delta badge has been stolen, I must also have a police report filed and bring it to my ESC Appointment within 5 Days of the police report filing date.If your LAWA badge has expired, you must contact an OSM.Must be entered through MPS.If your Delta ID is damaged or worn out, you must print and fill out the following document: ID Request Form Please do NOT fill out any information in relation to 'Manager'. You may bring the aforementioned form to the ESC for processing during normal business hours of Monday to Friday from 7am to 7pm without having to make an appointment. Please 'Submit Request' so we are aware of the processing required, thank you.*No Requests may be Submitted*Payroll Related ActionsPayroll Related ActionsMy paycheck is missing pay for regular scheduled hours I worked.My paycheck is missing pay for overtime hours I worked.My paycheck is missing pay for hours in relation to a swap.My paycheck shows an inaccurate hourly pay rate.Payroll - OtherPay period beginning date: *Select month123456789101112Select day12345678910111213141516171819202122232425262728293031Select Year2022Pay period ending date: *Select month123456789101112Select day12345678910111213141516171819202122232425262728293031Select Year2022Please check the following forms to ensure that your hourly pay rate matches your pay scale: - All ACS Customer Service Above Wing - ACS Below Wing - ACS LOD Agents - ALA / Tower Agents - Lead Agents - Above Wing - Lead Agents - Below Wing - ACS Seasonal Agents The following Living Wage Ordinance for the City of Los Angeles provides further insight to the minimum wage rate for "Airport Employees" at $18.04 per hour: City of Los Angeles - Living Wage Ordinance Schedule Related ActionsSchedule Related ActionsIssue PTOPTO RelatedEarly OutName / Employee PPR *Date *Scheduled Hours *PTO Time *Name / Employee PPR *Date *Scheduled Hours *PTO Time *Name / Employee PPR *Date *Scheduled Hours *PTO Time *Name / Employee PPR *Date *Scheduled Hours *PTO Time *Name / Employee PPR *Date *Scheduled Hours *PTO Time *Schedule Related ActionsSchedule Related ActionsForgot Clock In/Out (Same Day)Override - MPS Off DayOverride - MPS SwapsPTO - Beginning of ShiftPTO - End of ShiftPTO - Full DayShift AdjustmentBadge Related ActionsBadge Related ActionsBadge - Inactive/Returning from LeaveBadge - Invalid/Rejected BadgeBadge - Lost/StolenBadge - New HirePayroll Related ActionsPayroll Related ActionsOverride - No Show / TardyOverride - Pay ALA / AICDateFull NameEmployee PPRScheduled HoursForgot to Clock InForgot to Clock OutPay as Scheduled.Pay the following:Checkbox *I understand that if I need a new LAWA Badge, to renew my LAWA Badge, have a lost/stolen/damaged LAWA Badge, or an expired LAWA Badge, I can select the pertaining option above.I understand that if my Delta ID is lost/stolen/damaged or worn out, I can select the pertaining option above.I understand that if I am missing pay for regular, overtime or swap hours, OR, my hourly pay rate is inaccurate, I can select the pertaining option above.I understand that if I need to request a shift swap, double shift swap, OR, I have a Jury summons, I can select the pertaining option above.Leave of Absence Related ActionsLeave of Absence Related ActionsI have called Sedgwick to initiate a claim.How do I contact Sedgwick?What is the LAX Sick Phone Line Number?I need information on FMLA.I need information on Short Term Disability.I need information on Long Term Disability.Leave of Absence - OtherI called Sedgwick on: *I have requested my claim to start on: *I understand Delta policy requires that I call the Sick Line at 1 (844) 941-8705 to report my absence for 7 Calendar days from the date of my first absence. (Delta policy supersedes Sedgwick's policy requiring call-in for 2 days only)I understand that submitting this request will allow the Employee Support Center to follow-up on my claim and make any necessary adjustments to my schedule and/or pay.All further communication will be done with Sedgwick, LAX Employee Support Center, your OSM/Leaders, and with you via email/phone. No further form submissions are needed on your LAX Team website. You may 'Submit Request'.Sedgwick can be contacted for any of the following (NOT an all-inclusive list): • Family Medical Leave (FMLA) (non-pilot)• On the Job Injury (OJI)• Absence Notification (non-pilot)• Short-term disability (non-pilot)• Long-term disability (non-pilot)• Military Leave (non-pilot)• Personal Leave of Absence (non-pilot)• Workers' Compensation Sedgwick contact information: Toll Free: (877) 67 DELTA (877) 673-3582Mailing Address:Sedgwick Claims Management ServicesSedgwick CMSP.O. Box 14455Lexington, KY. 40512FAX: 800-922-8914You can find information regarding FMLA here: FMLAYou can find information regarding Short-Term Disability here: Short-Term DiabilityYou can find information on Long-Term Disability here: Long-Term DisabilityLAX Sick Call Number: 1 (844) 941 - 8705*No Requests may be Submitted*I understand that if I have initiated a Sedwick claim, I can select that option above.I acknowledge that I cannot and will not provide any Sedgwick related information such as claim number, claim status, claim information, or any other Sedgwick claim-related information in the issue I need assistance with.State your issue here:I had Requested Day(s) Off during the pay period on the following day(s):I had Swap(s) during the pay period on the following day(s):I had worked a Double Shift during the pay period on the following day(s):If you would still like to submit a request, please enter any related information and 'Submit Request':(i.e. pay period dates, hours, pay rate expected, etc.)You may 'Submit Request' and ESC will work on processing your request.Submit Request HOME