LNCA Payroll Adjustment Form 
Please submit this completed form to your Academy Director within 24 hours. If this form is not submitted in a timely manner for approval, payment for the shift in question may be delayed. Failure to follow proper time and attendance procedures can also result in delayed payment for shifts not accounted for by time and attendance systems.
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Name  *
Today's Date  *
MM
/
DD
/
YYYY
Classroom *
Date of Missed Punch  *
MM
/
DD
/
YYYY
Time in *
Time
:
Lunch Time *
Time
:
Time Out *
Time
:
Reason for Missed Punch  *
Submit
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