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Time Adjustment Form

Request for change to paid time punch activity.

Where were you working during the missed punch/time system malfunction?
MM slash DD slash YYYY
Time work started(Required)
:
Break time start
:
Break time end
:
Time work ended(Required)
:
The name of your supervisor in charge of the work being done at the time of the time clock error
Please describe the issue (i.e. missed punch, unable to login, system error, etc.) to help us better troubleshoot for the future.
MM slash DD slash YYYY
MM slash DD slash YYYY
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