Employee Time Log Adjustment Request Form
Please fill out this form to request adjustments to your time log.
Employee Full Name
First Name
Last Name
Employee ID
Date of Time Log to Adjust
-
Month
-
Day
Year
Date
Original Clock-in Time
Hour Minutes
AM
PM
AM/PM Option
Original Clock-out Time
Hour Minutes
AM
PM
AM/PM Option
Requested Adjustment Clock-in Time
Hour Minutes
AM
PM
AM/PM Option
Requested Adjustment Clock-out Time
Hour Minutes
AM
PM
AM/PM Option
Reason for Adjustment
Submit
Should be Empty: