Time Adjustment Notification

To correct a missed punch or timecard discrepancy, please complete this form. No edits will be done to the employee's time clock record without this form. Failure to submit this form may result in performance management. Form must be submitted within 24 hours of missed punch.

Name *

First

Last

Email *

Supervisor's Email *

Area *— Select —Business/FinanceMarketing & ProgramsOperations & Facilities

Email of Area Director

(If different than supervisor’s email.)

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Date of Shift *

Nature of Request *— Select — I need to add a punch.I need to correct a punch.

Type of Punch *— Select —Time InBegin MealEnd MealTime Out

Correct Time *

Provide More Details Here *

Required *

• I certify that all of the information reported above reflects my time worked.

Submit