Time Card

Employee

Customer Name

[Street Address]

Manager

[Address 2]

Customer Phone:

[City, ST ZIP Code]

Customer Email:

Employee Phone

Comments:

Week ending:

Day
Monday

Date

Start Time

Finish Time

Less Lunch Hour(s)

Daily Total

0:00

0:00

0:00

0:00

Tuesday

0:00

Wednesday

0:00

Thursday

0:00

Friday

0:00

Saturday

0:00

Sunday

0:00

Total hours

0:00

Employee signature

Manager signature

Terms and conditions

1. it is understood that epsi employees are not authorized to operate
machinery, automotive or truck equipment without prior written consent
from epsi.
2. it is agreed that insurance furnished by epsi does not cover liability for
injury or damage caused by the operation of customers licensed
vehicles, automobiles or trucks by epsi employees.
3. it is understood that customer will not entrust epsi employees with
unattended premises or any part thereof, handling of cash negotiable
paper or other valuables without prior written permission from epsi and
then only when an employee's specific duties necessitate such activity.
4. customer agrees to terms of net upon receipt, 2% per month finance
charge for payment not received within 30 days and to pay reasonable
attorneys fees for the cost of collection of unpaid accounts.

5. customer signature certifies that hours and dates stated are correct and
that
work
wasduring
satisfactory.
6. if the
at any
time
the 12 month period after the last date reflected
on this time sheet, the epsi employee named on this timesheet provides
services for or on behalf of client, or any of its affiliates, or through a
referral by client, whether as an employee or independent contractor
directly or indirectly (including through another personnel placement firm
or as a representative of another firm or corporation) then client shall pay
epsi as follows:
(1) For Temporary Services: hourly rates in effect on the last date
reflected on this time sheet
(2) For Permanent Services: a one-time fee of 1% per thousand dollars,
based on the annual salary of the employee. Maximum fee is 20% of
annual salary.