Kean University Historical Edit Request Form
_____________________________________________________________________________________________
Kean University
1000 Morris Avenue, Union, New Jersey 07083-0411 908-737-KEAN(5326)www.kean.edu
Employee Name: ________________________
Employee #: ________________________
Dept. / CC: ___________Phone Ext. _____________
Historical Edit Pay Period #: _____________
Pay Codes: Regular=REG; Student Aid-Regular=SA; FWS-Regular=FWS
Reason For Historical Edit (Required):
__________________________________________________________________________________________
Week 1
CORRECTION
Date
Pay
Code
Start Time
Break OUT
Break IN
End Time
Week 2
CORRECTION
Date
Pay
Code
Start Time
Break OUT
Break IN
End Time
Supervisor Name:
(Please Print)
Supervisor
Signature:
Date:
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