Web Time Entry Correction Form
This form must be submitted to the Payroll Office to make manual corrections to a previous time reporting period.
This form must be submitted immediately upon discovering time has not been reported or needs correcting.
Employee Name _____________________________________________ Banner ID ______________________________
Reporting Period ___________________ through ___________________ Department ___________________________
I certify the hours below were worked and not submitted with a prior time reporting period or were submitted
incorrectly through a prior time reporting period.
Employee Signature ________________________________________________ Date ___________________________
Please complete Item 1 OR Item 2 and Item 3 below.
(1) Time not previously submitted:
Month Day
Position
Number
Time Worked
(Ex. 8:00 am-12:00 pm)
Hours
Worked
Comments/reason for not submitting with
reporting cycle.
(2) Time as previously submitted that requires correction (must complete part (3) also):
Position
Time Worked
Hours
(3) Time as corrected from Part 2 above (must complete part (2) also):
Month Day
Position
Number
Time Worked
(Ex. 8:00 am-12:00 pm)
Hours
Worked Comments
Supervisor/Department Head - Certification/Approval:
I certify the hours above or correction to previously submitted hours were worked and were not submitted correctly
during the proper reporting period.
Approving Supervisor Signature ____________________________________________________ Date ______________
Department Head Signature _______________________________________________________ Date ______________
President, VP or Designee Signature (if required) ________________________________________ Date ______________
PYRT 05/2011
