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