Demand New Hours

The Delaget Payroll team is ready to work on your case! This form is used to generate an out of payroll cycle check for an employee who had the incorrect hours on a previous payroll cycle. Please fill in all fields on the form below. Also, please ensure that you put the title, name and email of the person filling out the form at the bottom. This is how we connect the case to your account and can provide you with updates as we work through the case. As always, please reach out to us if you have any concerns or questions. Thank you!

Employee ID:

Employee Name:

Company/Entity:

Restaurant #/District Manager:

New Hour Adjustment:

Job Title:

Pay Adjustment Reason:

Pay Rate:

Regular Hours:

Overtime Hours:

Bonus Type/ Amount ($):

Retro Pay ($):

Charge to Store #:

Contact Role: