Time Clock Adjustment Request

Time Clock Adjustment Request
Submit a request to correct your time clock entry due to a missed or incorrect punch.
Employee Full Name*
First NameLast Name
Employee ID Number*
Department*
Contact Email*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Date of Time Clock Adjustment*
MonthDayYear
Date
Clock-InClock-OutBoth
Original Clock Time(s) (if known)
Requested Correct Time(s)*
Reason for Adjustment Request*
Manager/Supervisor Name*
Manager/Supervisor Email*
example@example.com
Employee Signature*
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