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Payroll Shortage Form
Payroll Shortage Form
Last Name
*
First Name
*
Employee Number
*
Email
*
Phone Number
Date/Enter dates of shortage or missing pay
*
Assignment
*
Request # Integrify Timecard Submission number
*
What was paid? What is missing? Please be specific!
*
Details/Please list starts if short time & half, relief day or more than five
Additional Request # Integrify E-Timecard Submission number
Additional dates, assignment, shortage
Additional Request # Integrify E-Timecard Submission number
Additional dates, assignment, shortage
Additional Request # Integrify E-Timecard Submission number
Additional dates, assignment, shortage
Additional Request # Integrify E-Timecard Submission number
Additional dates, assignment, shortage
Additional isuues/Please list dates, assignments, shortage
Submit
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