Missed Punch Form

Please use the form below to notify the Operations Team on

any missed punches that may occur.

Note: each form represents ONE MISSED PUNCH

Missed Punch Form

Please enter your name.

First

Last

Please enter your email address.

Please enter your phone number.

Please select the date of your missed punch.

Please enter the job location you worked at.

Please select the punch type you missed.

REQUIRED Health Screening Questions: Are you experiencing any symptoms of Covid-19? (fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea)? **If yes, please contact your manager BEFORE reporting to the job site

Yes

REQUIRED Health Screening Questions: In the past 14 days, have you been in contact with anyone who has tested positive for Covid-19 AND been advised by a health professional to quarantine/isolate? **If yes, please contact your manager BEFORE reporting to the job site

Yes

REQUIRED Health Screening Questions: Do you agree to follow all safety practices to prevent the spread of Covid-19 in the workplace? (social distancing and/or face covering, handwashing/sanitizing, etc. as outlined in the Hero Act Exposure Prevention Plan which can be found in Paylocity)

Yes

Please enter the time you were supposed to punch.

Do you need to add a second punch for this day?

Yes

Please select the second punch type you missed.

Please enter the second time you were supposed to punch.

Please select the reason for your missed punch(es). Please select the reason for your missed punch(es).

By checking this box, you are stating that you have entered accurate information with integrity and are giving Tactical Construction Leadership permission to modify your time card.

Agree

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