Employee Hub

Time Clock Correction Form: Use this form to correct your daily time card

Name

Date of Correction

Clock In

Lunch: Clock Out

Lunch: Clock in

Clock Out

Did you voluntarily waive your lunch?

Yes No

Did you work 10 hrs or more?

Yes No

Did you take a second lunch?

Yes No

Did you voluntarily waive your second lunch?

Yes No

Employee Digital Signature

I consent and agree to this electronic signature

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