Free HR Payroll Correction Form Template
HR Payroll Correction Form
This form is intended to request corrections to your payroll records. Please fill out all applicable fields with accurate information. Submit this form upon completion with the documentation to initiate the correction process.
Employee
Employee ID
Job Title
Type of Payroll Issue
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Incorrect Salary
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Missing Bonus
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Overpayment
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Incorrect Tax Deduction
-
Unaccounted Hours
-
Missing Overtime Pay
-
Benefit Deductions Error
-
Incorrect Direct Deposit
-
Other
Description of the Issue
Please describe the payroll issue in detail:
Preferred Resolution
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Issue a corrected paycheck
-
Reissue missing bonus
-
Deduct overpayment from next paycheck
-
Adjust tax deduction
-
Recalculate hours/reissue paycheck
-
Reissue overtime pay
-
Correct benefit deductions
-
Correct direct deposit
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Other
Additional Notes
Please provide any additional information or notes regarding your payroll correction request:
Upload Supporting Documents
Please upload any supporting documents related to the payroll issue:
HR Approval
To be filled by HR only
-
Approved
-
Declined
|
Name: Date: |
