headpayr6.jpg (15547 bytes)

Name UID  Organization Code
Two Week Period Beginning (Sat)
    Ending (Fri)     Instructions

Week 1
In/Out/Total Hrs
Reg
Hrs
Str
OT
(033)
Prm
OT
(034)
Tot
Hrs

Week 2
In/Out/Total Hrs

Reg
Hrs
Str
OT
(033)
Prm
OT
(034)
Tot
Hrs
SAT

SAT

SUN

SUN

MON

MON

TUE

TUE

WED

WED

THU

THU

FRI

FRI

WEEK 1 TOTAL

WEEK 2 TOTAL

TOTALS FOR PAY PERIOD

TOT PAY PERIOD

REG HRS 

STR OT HRS  PRM OT HRS  TOT HRS

(Timekeeper use only)
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PAYROLL NO.________ECLS __________ POSITION________
SUFFIX__________ ORGANIZATION_______________
ENT'D
_________DATE__________
I certify that hours worked as reported above are true and accurate in accordance with University policies & procedures. All work assignments for Federal Work and Study students have been performed in a satisfactory manner. Employee Signature_________________________________Date___________
Supervisor Signature________________________________Date___________