Historical Edit Request Form Instructions
Section 1.
Fill out all employee information necessary to process request: NSU ID, Employee name, Employee Type, Activity Code,
and Job Name/#.
Section 2.
This section is used by hourly employees who need to make corrections to their punches on a signed off period.
- “Original Punches” should reflect the punches the employee was paid for.
- “Corrected Punches” should reflect what the punches need to be corrected to. Please enter all in and out punches for that date.
Example.
Section 3.
Adjustment for Time- Off is used by all benefit applicable employees, hourly and salary. This section has an “Original or Docked Entry”
and a “Corrected Entry”.
- “Original Or Docked Entry” should reflect the original entry
- “Corrected Entry” should reflect the type of time off request the employee is requesting for a signed off pay period.
Example.
Section 4.
Please provide us with the employee’s signature of approval and a supervisor/coordinator signature of approval.
Section 5.
This section is for Payroll use only.
HistoricalEditRequestForm
EmployeeType:
EmployeeNSUID# EmployeeLastName,FirstName
Temp
Exempt
Non‐Exempt
Student
ActivityCode
Day
Select
MM/DD/YY
Ente
r
Day DATE IN OUT
IN OUT IN
OUT
Day
Select
MM/DD/YY
Enter
Day DATE TYPE HRS TYPE
HRS
Phone #
Date
Date
SubmitformviaemailtoyourPayrollRep
Reasonforchange:
OriginalPunches
Enter In/outpunches
Corrected Punches
EnterIn/outpunches
DepartmentName
AdjustmentforPunches
EmployeeonLeavewithMatrix?
Supervisor/ Coordinator Signature
EmployeeSignature
AdjustmentforTime‐Off(VAC,PER,SIC,BER,JUR,STD)
Reasonforchange:
Original or Docked Entry
SelectTypeofTimeOff&enterHRS
Corrected Entry
SelectTypeofTimeOff&enterHRS
Note:Changes,includingmonetaryorother,willbeincludedon
thenextpaycycleaftertheformissubmitted.Thedeadlinetosubmittheformtobeincludedinthenextcycle
willbebyThursday,3:00pmafterthepaydateeffected.
Payroll Only:
Historical Edit
Historical Edit Log
Entered by: _________
***************************************************************************************************************************
Historical Edit w/Pay
Banner Correction
Pay # ______
Pay Period Begin ______________
Pay Period End ______________
Request Reason:
Missed Approval
Missed Request
Docked Time
Approved STD
Section 1.
Section 2.
Section 3.
Section 4.
Section 5.
Print Name
Print Name
Phone #
IN
OUT
N
Job Name/#
Revised 09/20/2018
PRINT
click to sign
signature
click to edit
click to sign
signature
click to edit