Time Adjustment Notification

To correct a missed punch or timecard discrepancy, please complete this form. No edits will be done to the employee's time clock record without this form. Failure to submit this form may result in performance management. Form must be submitted within 24 hours of missed punch.

Name(Required)
(If different than supervisor’s email.)

Date of Shift(Required)
Correct Time(Required)
:
Required(Required)