Time Card Adjustment

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Please submit the times and date you need adjusted. All dates must be done separately.

Email *

Actual home you worked at for the shift needing correction *

Indian Tree

Majestic View

Quaker Acres

Columbine Acres

Camenisch Park

Jewell Estates

Pinehurst

Red Hawk

Meadow Hills

Email Address of the House for the time correction *

Your full name *

Date *

YYYY

Actual clock in time *

Time

Actual clock out time *

Time

Reason for missed punch *

*** Please note: If you have not entered a request for an adjustment by the end of the last day of the pay period associated with it, you will not receive pay for that shift until the next pay period. This includes if there is an entire shift missing or if there is a missed in or out punch. By clicking yes, you agree with and understand this policy and procedure. *

Yes

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