Moment of Truth Submission

Thank you for sharing a Life Changing Moment of Truth (MOT) with us! We know this takes time and we know it will make a difference for our employees.

Please give as much information as you can below. Once you click submit, your story will go to the MOT Committee for review. The Committee meets the 2nd and 4th Thursdays of each month. If your story is approved, it will be shared with all of Pennant Services to recognize the wonderful efforts of our employees!

Company Name & Address*

Portfolio / Cluster*

Executive Director (or Manager) of MOT Nominee*

Your Name & Position/Title*

Name & Position/Title of Employee you are nominating for MOT*

Moment of Truth Story*

Share your understanding of the events and efforts that deserve recognition. Provide enough detail for the committee to review, but note we keep all MOT stories to one “printed” page.
It will be helpful if you explain why the actions were meaningful to you and/or others.
The committee regularly does minors edits to help your narrative flow, but the less editing we do (or request from you) the faster we can get the recognition published!

To ensure that all HR processes and potential risk is mitigated please answer below questions.

Was the action performed during regular work hours? We want to ensure the employee was properly compensated if that is the case.*

Please choose Yes or No

Select or enter value

If outside of work hours, was the employee paid or were the hours deemed voluntary?*

Please choose Yes or No. If Yes please explain

Select or enter value

Did they have any out of pocket expenses?*

Please choose Yes or No. If Yes please explain

Select or enter value

Photos & Legal Releases

A picture says a thousand words, and every story is better with a photo! Please use the upload button below to attach photos of the employee you are recognizing and others impacted by the actions (e.g., a patient or client or group of employees). Note, we cannot use any photo until we have authorization from all in the image.

For Employees: Click HERE to access the Photo Release form in DocuSign. The employee must fill this out.
For Patients/Residents:

1 - go to https://pennantguide.com/forms/PatientRelease.doc

2 - Print the form

3 - Fill in details

4 - Sign with a witness (if applicable)

5 - Scan the form and either upload it along with the

photos via the “drag and drop” box above or email them to

momentsoftruth@pennantservices.com

Drag and drop files here or

Form Status

If you don't have the photos handy or if you just need some more time to get the release forms filled out, no problem. Just let us know your status and please mail them to the committee as soon as you can. You can reach us at momentsoftruth@pennantservices.com.

All photos and signed forms are uploaded.

Forms are uploaded but not photos.

Photos are uploaded but not forms.

I don't want to use any photos for this MOT

Send me a copy of my responses

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