Timesheet Correction Form

Timesheet Correction Form

Employees: If you failed to clock in/out or your time needs a correction, please complete this form before the payroll period ends. Use a separate form for each date. Enter the ACTUAL time you arrived or left, NOT your scheduled time.
Time Clock Information
Name*

First NameLast Name
Date of Shift*

DayMonthYear
Date
Clock In Time*

:HourMinutesAM/PM Option
Clock Out Time*

:HourMinutesAM/PM Option
Break Clock Out Time

:HourMinutesAM/PM Option
Break Clock In Time

:HourMinutesAM/PM Option
Reason for Correction*
Employee Approval: I certify that the information reported above reflects the accurate correction needed for Payroll.
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