Timeclock / Reimbursement Request
Email *
Restaurant Location *
Request Type *
Hours Total (1.25 = 75 minutes) *
Last Date of Hours Worked (to be paid) *
When requesting hours worked from January 1st through January 4th please enter January 4th, being the last date you worked for the hours to be paid.
Enter any additional information if needed:
A copy of your responses will be emailed to .
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