Focus House Time & Attendance Change Form
This form is for Focus House staff to enter and/or make corrections to their time.

***Incomplete forms are not submitted***

Email address *
Employee First Name *
Your answer
Employee Last Name *
Your answer
Employee ID Number *
Your answer
Date Worked *
Enter date for the time worked.
MM
/
DD
/
YYYY
Time Started *
Enter the time you began working.
Time
:
Time Finished *
Enter the time you finished working.
Time
:
Was a lunch taken during this time period? *
Required
If a lunch was taken, how long was the lunch break? *
If no lunch period was taken, please enter a 0.
Your answer
Total Hours Worked *
Enter the number of hours worked. This total should reflect the actual hours worked minus an unpaid lunch.
Your answer
Notes or Comments:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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