Time Clock Exception Form
To be utilized for payroll time reconciliation.
Employee Information
Name
*
First Name
Last Name
Time Exception Details
Date of Exception
*
-
Month
-
Day
Year
Clock-In Time
*
Hour Minutes
AM
PM
AM/PM Option
Clock-Out Time
*
Hour Minutes
AM
PM
AM/PM Option
Type of Exception
*
Late Arrival
Early Departure
Missed Clock-In
Missed Clock-Out
Late Assignment
Training / Orientation
Class Instruction
Other
Exception Details
*
Signature
*
Submit
Should be Empty: