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Missed Clock In Form
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Missed Clock In Form
Please fill out the provided form below.
Missed Clock-In Form
Full Name
*
Missed Clock
*
Please Select
Missed Clock In
Missed Clock Out
Missed Clock In and Out
Date
*
Time In
Time Out
Reason for Missed Clock
*
Please Select
Forgotten Clock In/Out
Staff Busy with Participant
Participant Phone Problems
ISAS Call Incomplete
Staff in Community with Participant
OTP Issues
Correcting Staff Clock in/out Error
Emergency Situation
ISAS Call-in System Outage
*
I understand that I am only allowed four excused missed clocks per month per Maryland Department of Health (MDH). When I miss a clock in or out, this delays ISAS from approving my hours on time. If I was not with the client at the time entered above, I will not get paid the hours entered per MDH COMAR 10.09.84.23 By clicking the box, I acknowledge that the above statements are true. I agree to the terms. *Please submit all missed clocks within 24 hrs for ISAS to process on time.
Submit
