You must have JavaScript enabled to use this form. Had trouble with the time clock? Fill out the form. Your Name: Program Area/Duties: Date of Scheduled Shift: Start Time of Scheduled Shift: End Time of Scheduled Shift Select Reason: - Select -Missed Clock InMissed Clock OutMissed BreakClocked In LateOther (Specify below) Details for altering work shift. **Make sure to include specific details or your request will not be processed ** Program Coordinator: - Select -Brianna SoteloMark OswoodSean KinnallyTrent MorganJasmine CurtisSonia MartinezAlicia Ureste If you have any questions, you may contact us at 909-537-2348.