Attendance & Missed Clock-In/Clock-Out Form
Complete this form if you couldn’t clock in or out to document the issue for payroll and compliance.
Your Full Name
*
First Name
Last Name
Date of Missed Clock-In/Clock-Out
*
-
Month
-
Day
Year
Date
Which event did you miss?
*
Clock-In
Clock-Out
Both
Reason for missed clock-in/out
*
Did you notify supervisor?
Yes
No
How did you notify supervisor?
Please Select
Text
Call
Email
Other
Were you present the entire shift?
Yes
No
Was client present the entire shift?
Yes
No
Your Signature (to confirm the accuracy of this report)
*
Submit
Submit
Should be Empty: