Freeman Payroll Discrepancy
Last 4 Digits of Social Security
*
Referent Name
*
First Name
Middle Initial
Last Name
Suffix
Home Union
*
Date(s)/Day(s) of Discrepancy
*
Supervisor
Show Name
*
Job Number
Department Worked
*
Please Select
Deco
EAC
Freight
Steward
*
Hours Unpaid
Straight Time
Overtime
Double Time
Upgrade/Status Discrepancy
Please Select
New Hire
Helper
Journeyman
Steward
Did you work more than one (1) day in this pay period (week)?
Please Select
Yes
No
Please enter the dates and times you worked in the pay period (week).
Rows
Date
Start Time
End Time
Hours Worked
Day 1
Day2
Day 3
Day 4
Day 5
Day 6
Reporting Union
*
Additional Details
sendername
Submit
Should be Empty: