NOTICE OF AVAILABILITY



_____________________
(Today's Date)

_____________________
(Company Name)

_____________________
(Store Number)


In accordance with the current Collective Bargaining Agreement, I hereby declare that I am:

AVAILABLE

SELF-RESTRICTED

In making my decision for either the AVAILABLE or SELF-RESTRICTED list, I Understand that I may be assigned to any hours of the day and any days of the week.

I understand that the Collective Bargaining Agreement does not permit employee selection of specific job assignments or hours of duty.



_________________________
(Signature)

_________________________
(Print Name)

_________________________
(Social Security Number)