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Late Report
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Name
*
First
Last
Date / Time
Date
Time
Employee Name for
Date / Time
Date
Time
Date / Time
Date
Time
* You must notify HR & the Staff at the House if you are going to be late *
Did Employee Notify HR?
Yes
No
Did Employee Notify Staff at House?
Yes
No
Reason for tardiness:
Other Comments:
Employee Signature
*
Clear Signature
Date
Date
Time
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