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Tahoka ISD

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Middle School Time Clock Correction Form
MS Time Clock Correction Form
 Name
 
First Name
M.
Last Name

 

Reason for Time Clock Correction:
 

 

 Date of Correction:
 
 

 

 

What is the correct time you clocked in?
 
(hh:mm am/pm)

 

What is the correct time you clocked out?
 
(hh:mm am/pm)

 

By checking this box, I acknowledge that this information is accurate and true.
 
*
Electronic Signature:
 
By typing my name I am electronically
signing this document and I assert that I
am the person named on this form.
 
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