​Submit Change to Hours and Holidays

Providers may submit a Hour or Holiday Change directly to our staff in order for your Hours or Holidays to be adjusted into Kinder Systems and Amended to the Current Agreement. 

When submitting this request, please ensure the following information is provided:

*Provider Details
*Authorized Representative 
* Type of Change (Hours or Holiday)
*Change and Effective Date
*New Provider Operational Hours 
*New Provider Holidays (Total 9 Holiday)

* Changes are not retroactive
*Incomplete requests may delay processing 

By submitting this form, you are requesting a change in the Providers Daily Pay Rate. All Requests are subject to review and verification.

Provider Details

Authorized Representative

Requested Date to go into Effect.

NEW Hours of Operations (All Fields are required, if not applicable enter N/A)

I certify that the information provided is accurate to the best of my knowledge.

You can upload a maximum of 1 file, up to 48MB. Supported files include image, .doc, .dot, .wbk, .docx, .docm, .dotx, .dotm, .docb, .xls, .xlt, .xlm, .xlsx, .xlsm, .xltx, .xltm, .ppt, .pot, .pps, .pptx, .pptm, .potx, .potm, .ppam, .ppsx, .ppsm, .sldx, .sldm, .pdf.

After Submission

After submission, your inquiry is forwarded to our team and assigned to a dedicated Provider Coordinator who will begin processing it.

Processing 

Our support team responds to all changes within 48 hours. For urgent issues, contact our hotline. Approved Pay Rates are updated in Kinder Systems.

Confirmation

Providers may receive confirmation once the Pay Rate has been updated, or be contacted if additional information is needed.