Time Punch Form – North Dover FSU

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Team Member *

First

Last

Please use your legal first and last name, not preferred name or nicknames.

Manager Submitting Time Punch *

Date of Correction Requested *

Reason for Correction *

Forgot to Clock In
Forgot to Clock Out
Failed to Record Break
Other

Correction Requested *

Please be as specific as possible, including all Clock In/Out and/or On/Off Paid Break times for the designated day or note that other punches for the day are accurate.

Manager Signature *

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