Employee Information Employee ID:
Employee First Name:
Employee Last Name:

Date &+ Time Information Date: Edit Date:
Paid Hours:
Indirect (minutes): ^*Only Numbers Allowed in Indirect Value
Production Time:
Attendance Error:

Shift Information Area:

Number of Cases:

Number of Pallets:

Error Code:
Error Code 2:
Cases/HR:
Selection Rate:    Edit Rate:    Remove Case Bonus:

Hourly Pay Rate:    Edit Pay Rate:

Additional Pay:    No Additonal Pay:
Pay Deductions:    No Deductions:

Incentive Pay:
Hourly Pay:
Total Pay:
Comments:

Form errors are highlighted in red