• Time Sheet Adjustment Request

  • This form should only be completed if you have received written or verbal confirmation that your timesheet cannot be returned to you for correction/adjustment.

    If you have not received this confirmation, please speak with your campus manager to find out if this is the correct course of action for correcting your timesheet.

  • Time Sheet Adjustment Request

  • You can only submit one single week of changes per form. If you have multiple weeks that require correction, you will have to submit one form per week required.

    For example if you need to correct two Monday's, you will need to submit two timesheet adjustment forms.

    Adversely, if you need to correct a Monday, Thursday, and Saturday, you can submit one form, but the days must all be within the same Sunday through Saturday workweek.

     

  • Do you understand the above statement?*
  • Please see your campus manager for further clarification before continuing to the next page.

  • Time Sheet Adjustment Request

  • Time Sheet Adjustment Request

  • What day(s) of the week do you need to correct?*
  • Sunday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Sunday Morning Time In
  • Sunday Morning Time Out
  • Sunday Afternoon Time In
  • Sunday Afternoon Time Out
  • Monday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Monday Morning Time In*
  • Monday Morning Time Out*
  • Monday Afternoon Time In*
  • Monday Afternoon Time Out*
  • Tuesday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Tuesday Morning Time In*
  • Tuesday Morning Time Out*
  • Tuesday Afternoon Time In*
  • Tuesday Afternoon Time Out*
  • Wednesday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Wednesday Morning Time In*
  • Wednesday Morning Time Out*
  • Wednesday Afternoon Time In*
  • Wednesday Afternoon Time Out*
  • Thursday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Thursday Morning Time In*
  • Thursday Morning Time Out*
  • Thursday Afternoon Time In*
  • Thursday Afternoon Time Out*
  • Friday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Friday Morning Time In*
  • Friday Morning Time Out*
  • Friday Afternoon Time In*
  • Friday Afternoon Time Out*
  • Saturday
     / /
    2 digit month, 2 digit day, 4 digit year
  • Saturday Morning Time In*
  • Saturday Morning Time Out*
  • Saturday Afternoon Time In*
  • Saturday Afternoon Time Out*
  • Stipend & Additional Duty Pay Sheet

  • I hereby give to my immediate supervisor or front office personnel appointed by my immediate supervisor the authority to make the following corrections to my electronic True Time timesheet. I certify that the timesheet adjustments recorded below represents actual hours of employment for the period indicated.

  • Date Signed*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Image field 190
  • This will be your only opportunity to print or save a copy of your submission.

    Please select preview PDF to review, print or save a PDF copy for your records.

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