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Employee Time Correction Request Form

This form is used when correcting a correction to your time sheet. If you didn't properly clock in or out per the timekeeping policy or had a problem otherwise and need correction(s) after time has been sent to payroll you will need to fill out this form. It then gets submitted to payroll for review and approval or disapproval.

Please fill out all the info below. Your signature is legal and binding. We will process this adjustment as soon as possible for you.

You MUST submit this form for each correction request you have.

PLEASE DO NOT FORGET TO CHOOSE A DATE for the days you are submitting a request for time change. Thank You.

Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

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Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

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Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

__________________________________________________________________

Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

__________________________________________________________________

Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

__________________________________________________________________

Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

__________________________________________________________________

Start Time
Time
HoursMinutes
Stop Time
Time
HoursMinutes
Location

__________________________________________________________________

area code and numbers only no spaces or characters please.

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This is to determine if you need help with your login to the app or not.

Sign in the box using your mouse or upload a pic of your signature here.

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