DATE

DAY OF
THE WEEK

JOB NUMBER

SITE NAME

FAX TIMECARDS TO:

(646) 553-1305
OR
EMAIL TIMECARDS TO:
timecards@outsource.net
abe@outsource.net
TIME IN
LOCATION

WEEK ENDING:

$50 reward for confidential reporting of bonafide

unsafe work conditions.

EMPLOYEE NAME:
CLIENT NAME:

LUNCH

LUNCH

TIME OUT

TIME IN

ALL APPROVED TIMECARDS MUST BE SUBMITTED BY MONDAY @ 10:00 AM

TIMECARD FRAUD AND FORGERY ARE CRIMINAL OFFENSES AND WILL BE
PROSECUTED WITHIN THE FULLEST EXTENT OF THE LAW.

MM/DD/YR

LAST 4 DIGITS OF SS #.

DAILY TOTAL

TIME OUT

RT

OT

DT

RT

OT

DT

TOTAL HOURS:

Employee Signature:
By signing this timecard, I certify that I have not been witness nor involved in a work-related
injury or accident resulting in personal injury. I also certify that I have taken my required
lunch break each day that I worked.

Did our client have a safety meeting?

Topic

Yes

No

OUTSOURCE EMPLOYEE GUIDELINES:

1) Use a separate line for each day and job number. Round your time to the
nearest quarter hour.

Client Manager Name:

2) All signed timecards must be faxed to (646) 553-1305 by Monday @ 10:00

AM. Any timecard received after this deadline will not be processed until the
following payroll week. Signed timecards may also be scanned and emailed to
timecards@outsource.net and abe@outsource.net.

Client Manager Signature:

3) YOUR TIMECARD IS YOUR RESPONSIBILITY. You must call (646) 355-1825

after you have faxed or emailed your timecard to confirm receipt. A check will
not be processed without a properly completed timecard, signed by your
supervisor.

I agree to be billed by Outsource for the above hours.

Date:

As an authorized representative of my company, I certify that all hours shown on this

time sheet are correct and all work was performed in a satisfactory manner.

I additionally agree to pay for the time for which I have signed.