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Manual Check Request Form: Payroll Fax Number: (978) 741-7110

A manual check request form requires an employee to fill out their name, manager, site location, reason for the request such as a lost check or incorrect hours, and provide a detailed explanation. The form then requires signatures from the employee, manager, and accounting approval before the payroll office can process the request and issue a manual check.

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Uzair Maqbool Khan
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73 views1 page

Manual Check Request Form: Payroll Fax Number: (978) 741-7110

A manual check request form requires an employee to fill out their name, manager, site location, reason for the request such as a lost check or incorrect hours, and provide a detailed explanation. The form then requires signatures from the employee, manager, and accounting approval before the payroll office can process the request and issue a manual check.

Uploaded by

Uzair Maqbool Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Manual Check Request Form

(Circle One)

NESI RMA RMHS

Fill In All Below

Employee Name:
Manager:
Site Location:
Person Requesting Manual Check:
Lost Check  Incorrect Hours  Late Timecard 
Reason for manual check:
Late Paperwork  Other 

Detailed Explanation: (Required)

Employee Signature: Date

Manager Signature: Date:


Divisional Director
Signature: Date

Payroll Fax Number: (978) 741-7110


---------------------------------------------------------------------------------------------------------------------
For Payroll Office Use Only

Accounting Approval Signature: _______________________________________


CFO, Controller, Asst. Controller

Payroll Manager Signature: ________________________________________

Employee File #: _________________ Company Code:______________

Check #: Date Issued:

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