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HR Payroll Correction Form

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

      Email

      Type of Payroll Issue

      • Incorrect Salary

      • Missing Bonus

      • Overpayment

      • 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

      • 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

      • 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:

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