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Amkor Technology Philippines, Inc.: Payroll Adjustment Form

This payroll adjustment form from Amkor Technology Philippines allows employees to request changes to their payroll records for reasons like exceeding maximum overtime hours, taking approved time off, or changing their work shift, rest day, line code, or log box. The form requires employees to provide their employee number and name, describe the reason for adjustment, and list any changes. It also includes spaces for supervisors and managers to approve the adjustment and sign before it is submitted within 48 hours of the related incident.

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Jayjay Monterde
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
46 views

Amkor Technology Philippines, Inc.: Payroll Adjustment Form

This payroll adjustment form from Amkor Technology Philippines allows employees to request changes to their payroll records for reasons like exceeding maximum overtime hours, taking approved time off, or changing their work shift, rest day, line code, or log box. The form requires employees to provide their employee number and name, describe the reason for adjustment, and list any changes. It also includes spaces for supervisors and managers to approve the adjustment and sign before it is submitted within 48 hours of the related incident.

Uploaded by

Jayjay Monterde
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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PAYROLL ADJUSTMENT FORM

Amkor Technology Philippines, Inc.


CONTROL #
Revised effective April 23, 2010
INSTRUCTIONS:
1. Fill out the form completely and attach the necessary documents/obtain the required signatures.
2. Submit within 48 hrs. from date of incident. Sign on the logbook and indicate your CONTROL # (upper right column)
REASON FOR ADJUSTMENT
[ ] Exceeded max. OT hrs. allowed (with President/site GM's approval)
[ ] OB (attach approved OB/Amsaf form and proof of attendance)
[ ] Request for change shift, RD, linecode and logbox
[ ] Losts or Forgot ID (attach TAB)
[ ] Others, pls. describe
CHANGES
EMP NO

EMP NAME

REST DAY
From

SHIFT
To

From

LINECODE
To

From

LOGBOX

To

From

EFFECTIVITY

To

DATE

FOR AMS ADJUSTMENT


EMP NO

APPROVALS:

EMP NAME

PRINT NAME

LINECODE

Date Of
Incident

OT HOURS
>8 hrs reg

Date

Signature

OB

>16 hrs

In

Lost/Forgot ID
Out

E-mail

In

Out

Local

Incomplete Swipes
In

Out

Linecode

Supervisor
Dept. Mgr.
Security
GM
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PAYROLL ADJUSTMENT FORM


Amkor Technology Philippines, Inc.
CONTROL #
Revised effective April 23, 2010
INSTRUCTIONS:
1. Fill out the form completely and attach the necessary documents/obtain the required signatures.
2. Submit within 48 hrs. from date of incident. Sign on the logbook and indicate your CONTROL # (upper right column)
REASON FOR ADJUSTMENT
[ ] Exceeded max. OT hrs. allowed (with President/site GM's approval)
[ ] OB (attach approved OB/Amsaf form and proof of attendance)
[ ] Request for change shift, RD, linecode and logbox
[ ] Losts or Forgot ID (attach TAB)
[ ] Others, pls. describe
CHANGES
EMP NO

EMP NAME

REST DAY
From

LINECODE

SHIFT
To

From

To

From

LOGBOX

To

From

EFFECTIVITY

To

DATE

FOR AMS ADJUSTMENT


EMP NO

APPROVALS:
Supervisor
Dept. Mgr.
Security
GM

EMP NAME

PRINT NAME

LINECODE

Date Of
Incident

Signature

OT HOURS
>8 hrs reg

Date

OB

>16 hrs

E-mail

In

Lost/Forgot ID
Out

In

Local

Out

Incomplete Swipes
In

Linecode

Out

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