EMPLOYEE NAME: __________________________

EMPLOYEE NUMBER: _____________________ASSIGNMENT NUMBER_____

UNIT: _____________________________
POSITION TITLE: _________________________
Payroll Year
Pay Period Begin Date:
Pay Period End Date:

Date

Time
Time In Out

Time
Time In Out

Time In

SUNDAY
Leave Taken/Type**
MONDAY
Leave Taken/Type**
TUESDAY
Leave Taken/Type**
WEDNESDAY
Leave Taken/Type**
THURSDAY
Leave Taken/Type**
FRIDAY
Leave Taken/Type**
SATURDAY
Leave Taken/Type**
Total Sick Taken **
Total Vacation Taken **
Total Other Leave/Type**
**Benefit Eligible Employees Only
Employees Signature
Date:
Supervisor Signature
Date:
EBO Authorized Signature
Date:
EBO USE ONLY:
ENTERED BY _______________
DATE ENTERED __________

Original time sheet should be retained 4 years

TOTAL HOURS ____

Rev 7/9/09

Time
Out

Hours
Worked

TOTAL HOURS ________