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Time Punch Change Request Form

(Clock-in / Clock-out / Break start / Break end)

(Be specific to the minute.)

(Same day / next day / later)

Is this your first time punch correction in the last 30 days?
I confirm the information above is accurate and reflects hours actually worked.
Yes
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(Typed name or digital signature)

Time punch changes are reviewed for accuracy and patterns. Repeated corrections may result in additional coaching or corrective action.

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