Missed Punch Form

Missed Punch Form
Seasons CateringExpert Staffing West
Please Note:
Your employer is the name listed on your pay stub. Seasons Catering schedules employees from Expert Staffing West, but your employer is the company that processes your payroll.

When submitting this missed punch form, make sure you select the correct employer option above so it is routed properly.
Employee Name*

First NameLast Name
Submitted to (Supervisor)*

First NameLast Name
Event Manager or Supervisor*
Date Submitted*

MonthDayYear
Date
Date of Missed Punch*

MonthDayYear
Date
Clocked in or out after required timeMeal or rest break started after required timeMeal or rest break ended before full 30 minutesMissed meal or rest breakForgot to clock inForgot to clock outForgot to clock in AND outForgot to clock out for meal breakForgot to clock in from meal breakForgot to clock out AND in for meal breakOther
More information about your missed punch:*
Correct Time In:*

Hour Minutes

AM/PM Option
Correct Time Out:*

Hour Minutes

AM/PM Option
Clock out time for break:*

Hour Minutes

AM/PM Option
Clock in time for break:*

Hour Minutes

AM/PM Option
Reason for missed punch or missed rest break:*
Employee Approval:

I certify that the punches reported above or missed rest break represent the punches missed on my time card or rest breaks I did not take. I also certify that if I missed a required meal break or rest break, the error was made on my own or, for rest breaks, was my own choice, and was not due to Seasons Catering not providing me with my required meal break or rest break, unless noted above related to business reasons.

If you feel that the missed punch, missed meal, or missed rest break was at no fault of your own, please speak with your supervisor.
Employee Signature:*
Should be Empty: