Time Clock Update Form

This form is used to request an update to your time card. By submitting this form, there is no need to send any further communications. Your time will be updated before the current payroll is processed. If you need to correct any information provided on this form, or if you have a complex request, please contact Debbie. 

All forms marked with a * are required for your request to be processed. If you have multiple changes for different days, or more 4 time punches in a day, please submit them individually or submit the comments in the Comment field.

 
Name *
Name
Date *
Date
This is the day your shift began. If your shift spans an overnight period, please note it in the comment field.
I arrived for my shift at: *
I arrived for my shift at:
This is the time you arrived for the day.
I left for my break/lunch at: (leave blank if no break/lunch taken)
I left for my break/lunch at: (leave blank if no break/lunch taken)
I returned from my break/lunch at: (leave blank if no break/lunch taken)
I returned from my break/lunch at: (leave blank if no break/lunch taken)
I left at the end of my shift at: *
I left at the end of my shift at:
This is the time you left for the day.
Section
Authorization and Confirmation
Checkbox *
I affirm that this is a true an accurate representation of the time that I worked. I authorize AVS to update my time clock with the information I have provided. I understand that repeated failure to clock in and/or out in a timely manner, or misrepresentation on my time card, could be grounds for disciplinary action, up to and including termination.
Please type in your full name as your electronic signature authorizing AVS to change your time clock.

Our Office

7350 McGinnis Ferry Rd
Johns Creek, GA 30024
United States