Please provide the phone number or email address associated with your Roadie account
Please indicate the number of whole days you are requesting through Paid Sick and Safe Time
Select from the dropdown menu options the most applicable reason for requesting the PSST:
Please enter the details of your request. A member of our support staff will respond as soon as possible.
I agree that once this form is submitted, my PSST days will begin immediately. I agree to not complete Roadie Gigs starting now through the number of days requested for using PSST.
