diff --git a/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.stories.tsx b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.stories.tsx
new file mode 100644
index 0000000000..aeba910f69
--- /dev/null
+++ b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.stories.tsx
@@ -0,0 +1,89 @@
+import React from 'react'
+import type { Meta, StoryObj } from '@storybook/react'
+import ScheduleOnCallNotificationsFormDest, {
+  Value,
+} from './ScheduleOnCallNotificationsFormDest'
+import { useArgs } from '@storybook/preview-api'
+import { expect, userEvent, within } from '@storybook/test'
+
+const meta = {
+  title: 'schedules/on-call-notifications/FormDest',
+  component: ScheduleOnCallNotificationsFormDest,
+  argTypes: {},
+  args: {
+    scheduleID: '',
+    value: {
+      time: null,
+      weekdayFilter: [false, false, false, false, false, false, false],
+      dest: {
+        type: 'single-field',
+        values: [],
+      },
+    },
+  },
+  tags: ['autodocs'],
+  render: function Component(args) {
+    const [, setArgs] = useArgs()
+    const onChange = (newValue: Value): void => {
+      if (args.onChange) args.onChange(newValue)
+      setArgs({ value: newValue })
+    }
+    return <ScheduleOnCallNotificationsFormDest {...args} onChange={onChange} />
+  },
+} satisfies Meta<typeof ScheduleOnCallNotificationsFormDest>
+
+export default meta
+type Story = StoryObj<typeof meta>
+
+export const Empty: Story = {
+  args: {},
+}
+
+export const ValidationErrors: Story = {
+  args: {
+    errors: [
+      {
+        path: ['mutation', 'input', 'time'],
+        message: 'error with time',
+        extensions: {
+          code: 'INVALID_INPUT_VALUE',
+        },
+      },
+      {
+        path: ['mutation', 'input', 'dest'],
+        message: 'error with dest field',
+        extensions: {
+          code: 'INVALID_DEST_FIELD_VALUE',
+          fieldID: 'phone-number',
+        },
+      },
+      {
+        path: ['mutation', 'input', 'dest', 'type'],
+        message: 'error with dest type',
+        extensions: {
+          code: 'INVALID_INPUT_VALUE',
+        },
+      },
+    ],
+  },
+  play: async ({ canvasElement }) => {
+    const canvas = within(canvasElement)
+
+    await userEvent.click(
+      await canvas.findByLabelText(
+        'Notify at a specific day and time every week',
+      ),
+    )
+
+    await expect(await canvas.findByLabelText('Time')).toBeInvalid()
+    await expect(
+      // mui puts aria-invalid on the input, but not the combobox (which the label points to)
+      canvasElement.querySelector('input[name="dest.type"]'),
+    ).toBeInvalid()
+    await expect(await canvas.findByLabelText('Phone Number')).toBeInvalid()
+
+    await expect(await canvas.findByText('Error with time')).toBeVisible()
+    await expect(await canvas.findByText('Error with dest field')).toBeVisible()
+    await expect(await canvas.findByText('Error with dest type')).toBeVisible()
+  },
+}
diff --git a/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.tsx b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.tsx
new file mode 100644
index 0000000000..7dafc4fd1b
--- /dev/null
+++ b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsFormDest.tsx
@@ -0,0 +1,204 @@
+import {
+  Checkbox,
+  FormControlLabel,
+  Grid,
+  Radio,
+  RadioGroup,
+  TextField,
+  Typography,
+} from '@mui/material'
+import makeStyles from '@mui/styles/makeStyles'
+import { DateTime } from 'luxon'
+import React from 'react'
+
+import { FormContainer, FormField } from '../../forms'
+import { renderMenuItem } from '../../selection/DisableableMenuItem'
+import { ISOTimePicker } from '../../util/ISOPickers'
+import { Time } from '../../util/Time'
+import { useScheduleTZ } from '../useScheduleTZ'
+import { EVERY_DAY, NO_DAY } from './util'
+import { useSchedOnCallNotifyTypes } from '../../util/RequireConfig'
+import { DestinationInput, WeekdayFilter } from '../../../schema'
+import DestinationField from '../../selection/DestinationField'
+import {
+  DestFieldValueError,
+  KnownError,
+  isDestFieldError,
+  isInputFieldError,
+} from '../../util/errtypes'
+
+const days = ['Sun', 'Mon', 'Tue', 'Wed', 'Thu', 'Fri', 'Sat']
+
+export type Value = {
+  time: string | null
+  weekdayFilter: WeekdayFilter
+  dest: DestinationInput
+}
+
+interface ScheduleOnCallNotificationsFormProps {
+  scheduleID: string
+  value: Value
+  errors?: Array<KnownError | DestFieldValueError>
+  onChange: (val: Value) => void
+  disablePortal?: boolean
+}
+
+const useStyles = makeStyles({
+  margin0: { margin: 0 },
+  tzNote: { fontStyle: 'italic' },
+})
+
+export const errorPaths = (prefix = '*'): string[] => [
+  `${prefix}.time`,
+  `${prefix}.weedkayFilter`,
+  `${prefix}.dest.type`,
+  `${prefix}.dest`,
+]
+
+export default function ScheduleOnCallNotificationsFormDest(
+  props: ScheduleOnCallNotificationsFormProps,
+): JSX.Element {
+  const { scheduleID, ...formProps } = props
+  const classes = useStyles()
+  const { zone } = useScheduleTZ(scheduleID)
+  const destinationTypes = useSchedOnCallNotifyTypes()
+  const currentType = destinationTypes.find(
+    (d) => d.type === props.value.dest.type,
+  )
+
+  if (!currentType) throw new Error('invalid destination type')
+
+  const handleRuleChange = (e: React.ChangeEvent<HTMLInputElement>): void => {
+    if (e.target.value === 'on-change') {
+      props.onChange({ ...formProps.value, time: null, weekdayFilter: NO_DAY })
+      return
+    }
+    props.onChange({
+      ...props.value,
+      weekdayFilter: EVERY_DAY,
+      time: DateTime.fromObject({ hour: 9 }, { zone }).toISO(),
+    })
+  }
+
+  return (
+    <FormContainer
+      {...formProps}
+      errors={props.errors?.filter(isInputFieldError).map((e) => {
+        let field = e.path[e.path.length - 1].toString()
+        if (field === 'type') field = 'dest.type'
+        return {
+          // need to convert to FormContainer's error format
+          message: e.message,
+          field,
+        }
+      })}
+      optionalLabels
+    >
+      <Grid container spacing={2} direction='column'>
+        <Grid item>
+          <RadioGroup
+            name='ruleType'
+            value={formProps.value.time ? 'time-of-day' : 'on-change'}
+            onChange={handleRuleChange}
+          >
+            <FormControlLabel
+              data-cy='notify-on-change'
+              label='Notify when on-call changes'
+              value='on-change'
+              control={<Radio />}
+            />
+            <FormControlLabel
+              data-cy='notify-at-time'
+              label='Notify at a specific day and time every week'
+              value='time-of-day'
+              control={<Radio />}
+            />
+          </RadioGroup>
+        </Grid>
+        {props.value.time && (
+          <Grid item xs={12}>
+            <Typography color='textSecondary' className={classes.tzNote}>
+              Times shown in schedule timezone ({zone})
+            </Typography>
+          </Grid>
+        )}
+        <Grid item container spacing={2} alignItems='center'>
+          <Grid item xs={12} sm={5} md={4}>
+            <FormField
+              component={ISOTimePicker}
+              timeZone={zone}
+              fullWidth
+              name='time'
+              disabled={!props.value.time}
+              required={!!props.value.time}
+              hint={
+                <Time
+                  format='clock'
+                  time={props.value.time}
+                  suffix=' in local time'
+                />
+              }
+            />
+          </Grid>
+          <Grid item xs={12} sm={7} md={8}>
+            <Grid container justifyContent='space-between'>
+              {days.map((day, i) => (
+                <FormControlLabel
+                  key={i}
+                  label={day}
+                  labelPlacement='top'
+                  classes={{ labelPlacementTop: classes.margin0 }}
+                  control={
+                    <FormField
+                      noError
+                      component={Checkbox}
+                      checkbox
+                      name={`weekdayFilter[${i}]`}
+                      disabled={!props.value.time}
+                    />
+                  }
+                />
+              ))}
+            </Grid>
+          </Grid>
+        </Grid>
+        <Grid item xs={12} sm={12} md={6}>
+          <FormField
+            fullWidth
+            name='dest.type'
+            label='Destination Type'
+            required
+            select
+            disablePortal={props.disablePortal}
+            component={TextField}
+          >
+            {destinationTypes.map((t) =>
+              renderMenuItem({
+                label: t.name,
+                value: t.type,
+                disabled: !t.enabled,
+                disabledMessage: t.enabled ? '' : t.disabledMessage,
+              }),
+            )}
+          </FormField>
+        </Grid>
+        <Grid item xs={12}>
+          <FormField
+            fullWidth
+            name='value'
+            fieldName='dest.values'
+            required
+            destType={props.value.dest.type}
+            component={DestinationField}
+            destFieldErrors={props.errors?.filter(isDestFieldError)}
+          />
+        </Grid>
+        <Grid item xs={12}>
+          <Typography variant='caption'>
+            {currentType?.userDisclaimer}
+          </Typography>
+        </Grid>
+      </Grid>
+    </FormContainer>
+  )
+}
diff --git a/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsListDest.stories.tsx b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsListDest.stories.tsx
index b21e34b182..02c0377956 100644
--- a/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsListDest.stories.tsx
+++ b/web/src/app/schedules/on-call-notifications/ScheduleOnCallNotificationsListDest.stories.tsx
@@ -8,7 +8,7 @@ const errorScheduleID = '11111111-1111-1111-1111-111111111111'
 const manyNotificationsScheduleID = '22222222-2222-2222-2222-222222222222'
 
 const meta = {
-  title: 'schedules/on-call-notifications/ScheduleOnCallNotificationsListDest',
+  title: 'schedules/on-call-notifications/ListDest',
   component: ScheduleOnCallNotificationsListDest,
   argTypes: {},
   parameters: {
diff --git a/web/src/app/storybook/defaultDestTypes.ts b/web/src/app/storybook/defaultDestTypes.ts
index 0eb177b41e..ae8eda4aae 100644
--- a/web/src/app/storybook/defaultDestTypes.ts
+++ b/web/src/app/storybook/defaultDestTypes.ts
@@ -9,7 +9,7 @@ export const destTypes: DestinationTypeInfo[] = [
     userDisclaimer: '',
     isContactMethod: true,
     isEPTarget: false,
-    isSchedOnCallNotify: false,
+    isSchedOnCallNotify: true,
     iconURL: '',
     iconAltText: '',
     supportsStatusUpdates: false,
@@ -36,7 +36,7 @@ export const destTypes: DestinationTypeInfo[] = [
     userDisclaimer: '',
     isContactMethod: true,
     isEPTarget: false,
-    isSchedOnCallNotify: false,
+    isSchedOnCallNotify: true,
     iconURL: '',
     iconAltText: '',
     supportsStatusUpdates: true,
diff --git a/web/src/app/util/RequireConfig.tsx b/web/src/app/util/RequireConfig.tsx
index d4dd6166bb..be40158c72 100644
--- a/web/src/app/util/RequireConfig.tsx
+++ b/web/src/app/util/RequireConfig.tsx
@@ -216,6 +216,12 @@ export function useContactMethodTypes(): DestinationTypeInfo[] {
   return cfg.destTypes.filter((t) => t.isContactMethod)
 }
 
+/** useSchedOnCallNotifyTypes returns a list of schedule on-call notification destination types. */
+export function useSchedOnCallNotifyTypes(): DestinationTypeInfo[] {
+  const cfg = React.useContext(ConfigContext)
+  return cfg.destTypes.filter((t) => t.isSchedOnCallNotify)
+}
+
 // useDestinationType returns information about the given destination type.
 export function useDestinationType(type: DestinationType): DestinationTypeInfo {
   const ctx = React.useContext(ConfigContext)