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Employee Portal
Daily Clock In/Clock Out Error Report Form
Name
(Required)
First
Last
Email
(Required)
Employee ID Number
(Required)
Date of Occurance
(Required)
MM slash DD slash YYYY
Work Location
(Required)
Comments:
Actual Clock In Time is:
HH
:
MM
AM
PM
AM/PM
Actual Clock Out Time is:
HH
:
MM
AM
PM
AM/PM
Lunch Time Out is:
HH
:
MM
AM
PM
AM/PM
Lunch Time In is:
HH
:
MM
AM
PM
AM/PM
No Lunch Taken
No
Check the box if you are recording no lunch taken
Who is your Team Leader or Supervisor?
(Required)
SELECT YOUR SUPERVISOR
Aly Spradling
Andrea Delgado
Angela Penner
Brenda Maxey
Cathy Zimmerman
Chara Kemerling
Ciera Tiedtke
Desiree Loganbill
Dorinda Simmons
Faye Grounds
Heather Redd
Jim Suppes
Kathy Meyer
Kevin Hess
Lacey Mills
Lisa Vanwey
Misty Isley
Nathan Porter
Patty Clark
Sonya Wolfe
Stephanie Oden
Tyler Patterson
This person will approve or deny the Clock In/Clock Out Error Report.
Untitled
Name
This field is for validation purposes and should be left unchanged.
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