Payroll Correction Form
Please input all information here. There is no need to contact us as this form serves as the notification. We will look into the issue and contact you if we need further clarification.
Name
*
First Name
Last Name
Payroll Period Start Date
*
-
Month
-
Day
Year
Listed as Reporting Period on Paystub
Payroll Period End Date
*
-
Month
-
Day
Year
Listed as Reporting Period on Paystub
Reason for Correction Form
*
Did Not Get Paid At All for Shift
Received Partial Payment for Shift
Uploaded Manual Timesheet but Don't See Pay
Other
Shift Date
*
-
Month
-
Day
Year
Date
Facility Name
*
Clock In & Out Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Shift Position
*
Lifeguard
Lifeguard Manager
Lifeguard Training
Pool Attendant
Maintenance
Other
ADMIN STATUS
Please Select
Pending
Complete
Date
-
Month
-
Day
Year
Date
Trello Card Name (Name + Current Date + Facility)
Submit
Should be Empty: