Time clock adjustment Time clock adjustment Please use this form if: 1. You forgot to clock in and/or out from the beginning/end of a shift and/or break; or 2. You did assigned work off-site. Name* First Last Time clock adjustment* I am adding a break/lunch. I forgot to clock in and/or out. I worked off-site. Date to adjust* DD slash MM slash YYYY Hours/time adjustment* Message/notes
