Carlson Building Maintenance

Time Adjustment Form

01-06-2024

Time Adjustment Form Details

Employee number:

Employee name:

Adjustment for missed breaks

Date:

Start time:

End time:

Total hrs:

Break time:

Adjusted hrs:

Reason this pay was missed

**Signature/Approval - Please make sure to sign and print your name before turning in this form.

Employee:

Joe Schaeppi

01/15/2024

Manager:

Joe Schaeppi

01/15/2024