[Company Name] Weekly Time Record

Street Address: Week Ending:

Address 2: Employee:
Address 3: Manager:
City, State, ZIP Employee Phone:
Phone Employee e-mail:
Fax Tax ID:
Email

Regular Over Time

Overtime Counted After: 40 Hrs./Week Hourly Rate: $ 25.00 $ 37.50

Input Values Automatic Outputs

Time Lunch Lunch Time Total
Day In Starts Ends Out Hours Regular Over Time Total Pay

Mon 8:00 AM 11:00 AM 11:40 AM 5:00 PM 8.33 8.33 0.00

Tue 7:45 AM 11:00 AM 11:45 AM 5:00 PM 8.50 8.50 0.00
Wed 9:00 AM 11:00 AM 11:30 AM 4:30 PM 7.00 7.00 0.00
Thu 8:45 AM 11:00 AM 12:30 PM 4:35 PM 6.33 6.33 0.00
Fri 7:35 AM 11:00 AM 11:30 AM 4:00 PM 7.92 7.92 0.00
Sat 7:10 AM 11:00 AM 11:40 AM 5:00 PM 9.17 1.92 7.25
Sun 7:25 AM 11:00 AM 11:55 AM 1:20 PM 5.00 0.00 12.25
Total Hours: 40.00 12.25
Total Pay: $ 1,000.00 $ 459.38 $ 1,459.38

Manager Signature Date Employee Signature Date