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Payroll Correction Request
Penacook Rescue Squad
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Email
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Your email
Name
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Your answer
Date of Shift Worked
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Your answer
What Correction Needs to Be Made?
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Reasoning.
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Comments
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I understand and agree that checking the box below constitutes a legal signature confirming that I have submitted this form truthfully and warrant the truthfulness of the information provided.
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Electronic Signature
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