Time Clock Adjustment Form
Please submit if you forget to clock in/out or need a correction on your time. Your request will be forwarded to your supervisor for approval and either supervisor or payroll will make the adjustment. Requests should be made in a timely fashion as to not disrupt the payroll process.
Employee Name
First Name
Last Name
Email
example@example.com
Supervisor
*
Grant Berg (Secondary Principal)
Craig Kopetzki (Elementary Principal)
Mike Meihak (Superintendent)
Sara Meihak (Food Service)
Carrie Petsinger (Health Services)
Scott Schuller (Building and Grounds)
Macy Whiteside (Community Ed)
Please give the details of your corrections
Employee Signature
Back
Next
Please submit your request.
Your request will be forwarded to payroll for adjustment. If more information is needed you will be notified. Supervisors will be provided a report of all adjustments made..
Submit
Should be Empty: