Missing Clock-in/out Authorization
- This form needs to be submitted on the same day as the missed clock in or out
- 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 the telephone timekeeping system
- You must fill out a separate form for each missed clock in or out
First Name *
Your answer
Last Name *
Your answer
Employee Pin *
0 + last 4 digits of your social
Your answer
Job Location *
Where were you scheduled to work
Your answer
Day? *
Which day of the week
Date? *
What was the date of the missing punch
In or out? *
Which punch was missed?
Time *
What was the time of the Missing Punch
Reason for missing punch *
Please be descriptive.
Your answer
Electronic submission of this document will act in lieu of a signature and employee statement that all above information is correct
Never submit passwords through Google Forms.
This form was created inside of Aquatech Management of Long Island. Report Abuse