Time Clock Exception Form
Employee Information
Name
First Name
Last Name
Employee ID
Department
Position/Job Title
Time Exception Details
Date of Exception
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Original Clock-In Time
Hour Minutes
AM
PM
AM/PM Option
Original Clock-Out Time
Hour Minutes
AM
PM
AM/PM Option
Type of Exception
Late Arrival
Early Departure
Missed Clock-In
Missed Clock-Out
Break Time Discrepancy
Other
Exception Details
Submit
Should be Empty: