Timeclock Adjustment Request


Name:

:

Please Adjust My:

:

Reason For This Request:

Additional Notes:

 

By signing this form I am certifying that I would like my time adjusted in the value(s) above.  The time adjustment above is to my knowledge true and correct.

Leave this empty:

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Signature Certificate
Document name: Timeclock Adjustment Request
lock iconUnique Document ID: 1c5ce4f6746ff3ce410d0628f07299319d09d010
Timestamp Audit
August 8, 2022 5:26 pm CDTTimeclock Adjustment Request Uploaded by Randy Bacik - randy@glasscasa.com IP 104.28.32.197
August 8, 2022 9:34 pm CDTTimeClock Admins - timeclock@glasscasa.com added by Randy Bacik - randy@glasscasa.com as a CC'd Recipient Ip: 104.28.32.197
August 8, 2022 9:42 pm CDTTimeClock Admins - timeclock@glasscasa.com added by Randy Bacik - randy@glasscasa.com as a CC'd Recipient Ip: 104.28.32.197