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Staff Time Adjustment
Time Adjustment Form
Request for change to paid time punch activity.
First & Last name
(Required)
Department
(Required)
Select Department
Kayak Pittsburgh
Youth
Work location of time clock error
(Required)
Where were you working during the missed punch/time system malfunction?
Date of work
(Required)
Time work started
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Break time start
Hours
:
Minutes
AM
PM
AM/PM
Break time end
Hours
:
Minutes
AM
PM
AM/PM
Time work ended
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Supervisor in charge
(Required)
The name of your supervisor in charge of the work being done at the time of the time clock error
Error description
Please describe the issue (i.e. missed punch, unable to login, system error, etc.) to help us better troubleshoot for the future.
Signature
(Required)
Your Name
Your Name
Your Name
Your Name
Date
Date
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