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Post- Payroll Adjustment Form - Revised 4/2/25

Specify in/out times for adjustments in time worked and Total Adjustment hours. If either of these requirements are missing, adjustment form will be returned to the department. All adjustments older than 4 pay periods will require a justification memo.

Form must be submitted to Payroll no later than 5PM on the second Wednesday of the pay period to guarantee payment for the current pay period.

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Updated 04/02/2025

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