Time Clock Edit Request

Employee Number

Reason for edit

Failure to clock in

Failure to clock out

Time clock malfunction

No employee number was assigned

Change in work location

Other

If OTHER, or you feel the edit needs additional information or explanation, please give detailed info here

Time card date to change:

Correct clock IN time to:

Correct clock OUT time to:

Name of manager submitting time card edit

Thanks for submitting!