Employee Time Log Adjustment Request Form

Employee Time Log Adjustment Request Form
Please fill out this form to request adjustments to your time log.
Employee Full Name
First NameLast Name
Employee ID
Date of Time Log to Adjust
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Original Clock-in Time
Hour Minutes
AM/PM Option
Original Clock-out Time
Hour Minutes
AM/PM Option
Requested Adjustment Clock-in Time
Hour Minutes
AM/PM Option
Requested Adjustment Clock-out Time
Hour Minutes
AM/PM Option
Reason for Adjustment
Should be Empty: