Weekly Timesheet Adjustment Request Form
Employee Name
First Name
Last Name
Store Location
Please Select
Option 1
Option 2
Option 3
Option 4
Employee ID
Department
Please Select
Option 1
Option 2
Option 3
Option 4
Job Title
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Current Work Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Current Time Shown
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Adjustment Requested Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Adjustment Requested Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Reason For Adjustment
Date
-
Month
-
Day
Year
Date
Employee Signature
Submit
Should be Empty: