Time Sheet and Payroll Adjustment Record
Time sheets must be submitted to Payroll at the end of each pay period.
Time Sheet and Payroll Adjustment Record
| thru | ||||||
Employee ID
REQUIRED | Last Name
| First Name
| Location No.
| Payroll Period | ||
Date
| Activity Performed
| Regular
Hours | Overtime
Hours | Date
| Duties Performed
| Regular
Hours | Overtime
Hours | |
| Total Hours - - - - - - - - | ||||||||
Date
| Description of Adjustments
| Hours
| Rate
| Total Addition
| Total Deduction | ||
| ( | ) | ||||||
| ( | ) | ||||||
| ( | ) | ||||||
| I certify that the above is an accurate record of time worked and adjustments during the period indicated. | Authorization:
| I hereby approve the hours and payroll adjustments indicated above for payment. | |||||||||||
| | |||||||||||||
Employee Signature
| Date | Supervisor Signature/ Budget Authority | Date
| ||||||||||
RECAPITULATION | |||||||||||||
| Regular | Overtime | ||||||||||||
Hours
| Account Code
| @ $ | @ $ | ( ) | |||||||||
| Gross monthly salary- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | $ | ||||||||||||