TIME AND ATTENDANCE ADJUSTMENT Document #:

FORM ICT.F.01

Employee Information

Employee Name: _________________________________________

Employee ID: ______________

Department: _____________________________________________

Adjustment Parameters
Date of adjustment: _______________________________________

Time to be changed to: _____________________________________

Punch In or Out:
In: Out:

Type of adjustment:

Overwrite: Insert:

Approved by Unit leader/Supervisor

Name: _________________________________________________

Signature: ______________________________________________

Date of request: _________________________________________

Comments
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
______________________________________________________

th
Issue/ Revision #:1/01 Issue Date: May 14 2018 Page 1 of 1