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Request For Time Clock Adjustment
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Name
*
First
Last
Email
*
Please Adjust My
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Start Time of Day Time
Lunch Start
Lunch Stop
End Time of Day
Select only one item. If you have another time change request please start another form
Adjust my Start Time For This Date
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Enter date of adjustment
To this Adjusted Time
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Enter corect Start Time
Adjust My Lunch Start For This Date
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Enter date of adjustment
To This Adjusted Time
*
Adjust My Lunch Stop For This Date
*
Enter date of adjustment
To This Adjusted Time
*
Adjust My End Time of Day
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Enter date of adjustment
To This Adjusted Time
*
Reason For This Request
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Please explain why you are requsesting this timeclock adjsumentt. Example I forgot to clock-in, I forgot to clock back-in after lunch
Additional Notes
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