Tahoka ISD

"We Serve, Students Win!"

Middle School Time Clock Correction Form
MS Time Clock Correction Form
First Name
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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