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Employee Historical Correction Form

The document is a form used to request corrections to previously approved time records in the Kronos system at SUNY Upstate Medical University. It requires information about the employee, the correction being requested, and signatures from the employee and supervisor to approve changing the employee's time or pay.
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0% found this document useful (0 votes)
143 views1 page

Employee Historical Correction Form

The document is a form used to request corrections to previously approved time records in the Kronos system at SUNY Upstate Medical University. It requires information about the employee, the correction being requested, and signatures from the employee and supervisor to approve changing the employee's time or pay.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KRONOS SUNY Upstate Medical University

Payroll Services
HISTORICAL CORRECTION Jacobsen Hall, Room 100
Phone: 315-464-4840

FORM
Fax: 315-464-6337
www.upstate.edu/payroll

The purpose of this form is to request a correction to a previously approved and signed off time record in the
Kronos system. All pay related changes will be processed for the next available paycheck. If there is a more urgent
need, please call the Payroll Services Office at 464-4840 (State) or 464-6350 (Research Foundation).

SECTION I: CORRECTION TO BE MADE

Emp ID#: Employee Name:

Home
Department #:
Department:

Date of Occurrence Type of Time/Pay Due to Amount Due in


(Historical Date) : Employee (Pay Code): Hours(HH.hh):

Reason for Correction/


Additional Comments:

If Applicable:
Transfer to Transfer Dept
Dept #: Name:

SECTION II: EMPLOYEE SIGNATURE

Employee- By signing below, I agree to have Payroll adjust my time/paycheck for the above requested change to a previously
approved and signed off time record.

Employee Date
Signature:

SECTION III: SUPERVISOR/MANAGER SIGNATURE

Supervisor/Manager - By signing below, I approve the above change to the listed employee's time record and agree to have
Payroll adjust the employee's time/paycheck for this adjustment to a previously approved and signed off time record.

Supervisor Name
Supervisor ID#:
(please print:

Supervisor Date
Signature:

FOR PAYROLL SERVICES USE ONLY:


Print Form
Initials of Processor:
Please complete, sign and return to:
Payroll Services
Date Processed:
Jacobsen Hall, Room 100.

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