Time Sheets Spreadsheet

Page:

of

EMPLOYEE NAME:

RECRUITER:

FACILITY:

TO

PAY PERIOD:

PLEASE FAX TIME SHEETS WEEKLY TO 877-309-5038 BY 12:00 AM EASTERN TIME (9:00 PM PACIFIC TIME) SUNDAY

Time Sheets received later than 12:00 AM Eastern Time (9:00 PM Pacific Time) Sunday may be delayed for processing.

Minus Break

DAY

DATE

UNIT

Time In (1)

Time Out (1)

(2)

Total

On Call (3)

Call Back (3)

Comments (4)

SUN

MON

TUES

WED

THURS

FRI

SAT

I authorize payment of hours noted on this time sheet:

Supervisor Signature

Date

Supervisor Name (Please Print)

Employee certifies all hours noted on this time sheet are accurate and no accident or injury was sustained while working on the assignment unless noted below.

Employee Signature

Date

(1) Please use the quarter hour rule when calculating total hours. 15 MIN = .25HRS 30 MIN = .50HRS 45 MIN = .75HRS

(2) You are required to fill in your break time. If you did not have a break, place a Zero in the box. If it is left blank, payroll will assume a half hour break.

(3) Only put “on call” hours in the “on call” column. If you were “called back”, please only include these hours in the "call back" column. Please indicate IN and OUT times.

(4) Please use this section to write any additional information needed that would be helpful for payroll, such as "charge time" or holiday.

Printable time sheets are available at