<p> Time Clock Missed Punch Request Form</p><p>Employee Name:______</p><p>Date of missed punch:______Reason for missed punch:______</p><p>Type of missed punch (if more than one check all that apply): Initial clock-in of the day. Clock out for lunch. Clock in from lunch. Clock out / end of day. Other:______</p><p>Time of missed punch:______Explanations: ______*If the missed punch caused employee to miss the next punch, please list both times and explain. </p><p>Approval from the employee’s department head / supervisor shall be obtained prior to HR/Payroll editing Time Clock Punch. ______</p><p>Employee PRINT Name Employee Signature Department Date</p><p>______</p><p>Supervisor PRINT Name Supervisor Signature Date</p>