This form is to be used by all nonexempt employees to record time and attendance. all time, including unpaid and paid leave hours, must be recorded.
Return this completed form to your department supervisor at the end of each workweek.
Week ending: _________________________________________________________
Employee name: _______________________________________________________
Department: ___________________________________________________________
DAY | TIME IN | TIME OUT | TIME IN | TIME OUT | LEAVE CODE | LEAVE HOURS | REG HOURS* | OT HOURS* |
SUN | ||||||||
MON | ||||||||
TUES | ||||||||
WED | ||||||||
THU | ||||||||
FRI | ||||||||
SAT |
TOTAL HOURS* |
* To be completed by Payroll
Leave Codes
H = Holiday | J = Jury Duty | V = Vacation |
P = Personal | F = FMLA - Medical Leave | L = Leave Without Pay |
B = Bereavement | S = Sick | E = Educational Seminar/Training |
Notes: _____________________________________________________________________
Employee Signature: | Date: |
Approval:
Department Supervisor Signature: | Date: |
Processed by:
Payroll Signature: | Date: |
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