California Punch Adjustments

California Punch Adjustment Form

MM slash DD slash YYYY
The date you are submitting this form. If you work night shift, you will use today's date rather than the date your shift started.
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
MM slash DD slash YYYY
Punches
Start Time
Meal Out
Meal In
Out Time
I certify that the timecard adjustments above represent my actual time worked. I acknowledge that I am required to take a minimum 30-minute off the clock meal period before my 5th hour of work. Missed meals for any reason must be immediately reported to my Integrity Supervisor.
Clear Signature

Related Posts