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Carlson Building Maintenance |
Time Adjustment Form | ${month}/${day}/${year} |
Time Adjustment Form Details |
Employee Number: | ${employeeNum} | Employee Name: | ${employeeName} | ||
Adjustment for missed breaks: |
Date: | Start Time: | End Time: | Total Hours: | Break Time: | Adjusted Hours: |
---|
Reason this pay was missed: | |||||
---|---|---|---|---|---|
${noteAdjustment} | |||||
**Signature/Approval - Please make sure to sign and print your name before turning in this form. | |||||
Employee: | ${employeeName} |
${employeeSig}
|
${month}/${day}/${year} | ||
Manager: | ${dm.userFirst} ${dm.userLast} |
${dmSig}
|
${month}/${day}/${year} | ||
Sign | Date | ||||
*Please Return this Completed form to the Payroll Department |