Payroll Variance Form

Payroll Variance Form

This is for a discrepancy in non clocked in hours, for example, this form can be used for hours worked at another restaurant or worked outside of the restaurant. This form should be filled out by the manager on duty, instructor of a class, or General Manager/Supervisor where applicable.

PTO hours can requested with the new PTO form.

If you feel you are missing hours, please use the Missing Hours Report.

**GENERAL MANAGER or SUPERVISOR APPROVAL REQUIRED**
**If the reason for using the payroll variance form is for an issue relating to punching in at your store, a manager should contact the office and inform them of the issues.

IF YOU CAN’T PUNCH IN – YOU SHOULD BE WORKING WITH PERMISSION ONLY
Manager Filling Out Form*

First NameLast Name
Employee's Name *

First NameLast Name
Employee's Email *
For confirmation
Please select what this variance is for.*
Other Reason
Restaurant Assisted at
What area is the restaurant you helped at located in?*

Beloit areaRockford areaHuntley area
Beloit area*
Rockford area*
Huntley area*
Home Store
What area is the restaurant you work at in? (Home Restaurant)*

Beloit areaRockford areaHuntley area
Beloit area (Home Restaurant) *
Rockford area (Home Restaurant) *
Huntley area (Home Restaurant) *
NOTE: If you worked at another store you will receive multiple paychecks. Please check Paycor for your pay stubs!
Drive time will be added by the office so only include actual class time.
What class did you attend?
Please give more information about the class/event you attended
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Timeframe of Hours Worked (Not punched in for)*
Date Hours Worked*

MonthDayYear
Date
Employee Signature*

Clear
Manager's Signature *

Clear
Verification*
Should be Empty:

Payroll Variance Form

Restaurant Assisted at

Home Store

NOTE: If you worked at another store you will receive multiple paychecks. Please check Paycor for your pay stubs!

Drive time will be added by the office so only include actual class time.