Time Adjustment Request Form

Requested date *

Employee Name ( Last name, First name ) *

First

Last

Email *

Job Title *

Work location *

Reason for adjustment time *

Date to be corrected [Work date] *

If you need to correct the time for multiple dates, please provide the dates and times that need correction in the "Detailed reason" section below.

Clock-in time *

Clock-out time *

Start time of lunch break

End time of lunch break

Total lunch break time (minutes)

Reason for not having a lunch *

Reason for correction *

Please provide detail of you work until the fingerprint is registered *

For example) 1. BBY - Tue, Sep 12th / 9am - 5pm ( Lunch 30mins )