Employee Payroll Discrepancy

1

Employee Name /Nombre del Empleado. * This field is required.

First Name

Last Name

2

Email Address / Correo Electrónico * This field is required.

example@example.com

3

Payroll Question /Pregunta Sobre Nómina* This field is required.

Wrong Rate / Tasa incorrecta

Short in Hours / Horas insuficientes

Pay Stubs / Recibos de pago

Address Change / Cambio de dirección

4

Enter Pay Period / Ingresar Período de Pago * This field is required.Example 1/1/2025-1/2/2025

5

Remarks on the adjustment / Comentarios Sobre el Ajuste* This field is required.

6

Remarks on the adjustment / Comentarios Sobre el Ajuste* This field is required.

7

Employee's Signature / Firma* This field is required.