Identification
Employee name, job title, department, and personnel or payroll ID to ensure the entry is linked correctly to the employee record and payroll system.
A consistent form promotes fair, documented handling of lateness, reduces disputes, and ensures HR can track patterns across time. It centralizes key data for payroll adjustments, discipline, and reporting while preserving a defendable record for internal or legal review.
Typical users include frontline supervisors, HR staff, and employees when self-reporting an arrival exception.
Use controlled access so only authorized staff can edit entries and preserve original signed copies for audits and disciplinary history.
The employee named on the form should review and sign or initial to confirm the reported arrival time and the stated reason; signature confirms attribution and acceptance of the record.
A direct supervisor or shift lead typically reviews the entry, confirms the facts, adds corrective actions or follow-up instructions, and signs to certify managerial awareness.
Employee name, job title, department, and personnel or payroll ID to ensure the entry is linked correctly to the employee record and payroll system.
Scheduled start, actual arrival, total minutes late, and whether the tardiness affected job-critical duties or required coverage adjustments.
Brief factual description of the cause, whether the employee notified the employer, and any supporting evidence such as a transport delay or medical note.
Supervisor confirmation block with space for notes, corrective actions, or counseling steps and signature to verify the recorded facts.
Citation of the applicable attendance policy, progressive discipline steps, and links or references to related HR procedures.
Placeholders for uploaded files (photos, receipts, medical notes) or notes on why an attachment is not provided, preserving supporting documentation.
| Field | Configuration |
|---|---|
| Time format | Lock to HH:MM AM/PM |
| Required fields | Make name, date, scheduled time, arrival, and signatures mandatory |
| Attachments | Allow PDF, JPG; limit size per file |
| Notifications | Email HR and supervisor on submission |
Ensure any eSignature platform you use supports legal validity, secure storage, and access controls for HR records.
Prefer solutions that meet ESIGN and UETA requirements and offer HIPAA BAAs for handling protected health information; maintain access logs and role-based permissions for HR users.
Record lateness on the day it occurs whenever possible
Supervisor should verify within 48 hours
HR reviews recurring patterns within 7–14 days
Submit needed payroll corrections by the next payroll cutoff
Follow progressive discipline timing in company policy
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes (Premium) | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |