Chesapeake FRC Allocation Change / Exception Request Form
This form is for you to request either a change in your allocation category or a 1-time exception to receive additional allocation.
Full Name:
Employee ID:
Chesapeake Email:
From the options below, please select the one that best fits your current request.
Option 1
I would like to request a one-time additional allocation to purchase additional garments.
How many points are you requesting?
What is the reason you need this additional allocation?
Option 2
I would like to request a permanent change to my allocation tier.
Please choose the option below that best describes the amount of time you spend on a field work site.
Greater than 1 week per month on a field work site
1 week per month on a field work site
1 day per month on a field work site
0 days per month on a field work site
What is the reason for this change?
Thank you for completing this questionnaire. Please click on the Submit icon and we will email you once your request has been processed and approved. If you have any questions regarding your allocation, please email
safety@chk.com
. If you are having any problems or have questions about the functionality of this questionnaire, please contact us at
points@wayne-ent.com
.