Missed Clock In Or Out Form

MISSED CLOCK IN OR OUT FORM

If this is not submitted to your supervisor immediately, your hours may not be correct on your

next pay check.

EMPLOYEE

NAME:________________________________________

FORGOT TO

CLOCK IN

CLOCK OUT

DATE WORKED (MM/DD/YYYY): _______________

TIME IN(HH:MM):___________AM/PM

TIME OUT(HH:MM) :___________AM/PM

JOB WORKED:___________________________________________

EMPLOYEE SIGNATURE:__________________________________

DATE:_____________

SUBMIT TO SUPERVISOR FOR THE DEPARTMENT WORKED

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

TO BE COMPLETED BY THE SUPERVISOR

TIMECLOCK REPORT CORRECTED

ATTACH TO TIMECLOCK REPORT BEFORE SUBMITTING TO CORPORATE PAYROLL

DEPARTMENT

MISSED CLOCK IN OR OUT FORM

If this is not submitted to your supervisor immediately, your hours may not be correct on your

next pay check.

EMPLOYEE

NAME:________________________________________

FORGOT TO

CLOCK IN

CLOCK OUT

DATE WORKED (MM/DD/YYYY): _______________

TIME IN(HH:MM):___________AM/PM

TIME OUT(HH:MM) :___________AM/PM

JOB WORKED:_________________________________________

EMPLOYEE SIGNATURE:________________________________

DATE:_____________

SUBMIT TO SUPERVISOR FOR THE DEPARTMENT WORKED

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

TO BE COMPLETED BY THE SUPERVISOR

TIMECLOCK REPORT CORRECTED

ATTACH TO TIMECLOCK REPORT BEFORE SUBMITTING TO CORPORATE PAYROLL

DEPARTMENT