Request for Hours or Date Adjustments

Completed by department HRIS Representative to request an adjustment in an employee’s HRIS dates or hours for a variety of reasons. Most commonly used for adjustments due to unpaid leaves of absence in excess of one payroll period, or special agreements. These adjustments are entered into HRIS by HR/HRIS Records Division staff after verification has been made.

Changes to the following may be requested:

Need to complete Employee ID, Name, Submitted by (Name, Phone & Date) and Approved by Name, Signature & Date), and only those items that need changing.

Distribution: Original to Human Resources HRIS/Records Division; copy retained by department.

Last updated Oct 21, 2011