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Time Clock Correction Request
Use this form to report any clock-in or clock-out discrepancies. All submissions are reviewed by management and may be verified using available records. Intentional misuse or repeated errors may result in disciplinary action under company policy..
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First Name
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Last Name
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Your Position
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Esthetician
Ops Center Rep
Manager
Asst Manager
Primary Location You Work At
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Aliante
Blue Diamond
Green Valley
Lake Mead
Providence
St Rose
Summerlin
Ops Center
Date of Shift
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Date of Shift Needing Correction
Original Scheduled Hours
Scheduled Shift Hours (if known)
What needs to be corrected?
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Missed Clock-In
Missed Clock-Out
Incorrect Time Logged
Forgot to Clock Entire Shift
Other (explain below)
Position Location Layout
Requested Correction
Describe What Happened and Requested Fix
Manager Notified
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Yes – In Person
Yes – Text
Yes – Call
No
Acknowledgment
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I understand that repeated or false submissions may result in disciplinary action.
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I confirm that the above information is accurate to the best of my knowledge.
Signature
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Clear Signature
Submit