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DATE TIME IN TIME OUT REMARKS SIGNATURE OVER PRINTED NAME WITNESSED BY:
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DATE TIME IN TIME OUT REMARKS SIGNATURE OVER PRINTED NAME WITNESSED BY:
 POLYSERVE PHILIPPINES, INC.
DAILY TIME RECORD SHEET

PAYROLL PERIOD: May 1-15 2023 16,17 and 18

EMPLOYEE'S NAME: 1,2 AND 3
COMPANY ASSIGNMENT:
POSITION:
OFFICIAL SCHEDULE
OFFICIAL BREAK

DATE TIME IN TIME OUT REMARKS

5/1/2023 LABOR DAY
5/2/2023
5/3/2023

SIGNATURE OVER PRINTED NAME

5/4/2023
5/5/2023
Saturday

WITNESSED BY:
5/6/2023
5/7/2023 Sunday
5/8/2023
5/9/2023
5/10/2023
5/11/2023 8:00 AM 5:00 PM THURSDAY
5/12/2023 8:05 AM 18:30 FRIDAY
5/13/2023 Saturday
5/14/2023 Sunday
5/15/2023 8:00 AM 5:00 PM MONDAY

APPROVED BY: (CLIENT ATTESTATION / ANNOTATION )

_____________________________________
Signature over Printed Nam Date

_____________________________
Position
 POLYSERVE PHILIPPINES, INC.
OVERTIME AUTHORIZATION FORM
(Regular Day)

NAME: COMPANY ASSIGNMENT:

POSITION:
AUTHORIZED OVERTIME
DATE PURPOSE NO. OF HOURS
FROM TO
5/11/2023 5:30:00 PM 6:30:00 PM inspect 1 HR.

SIGNATURE OVER PRINTED NAME

5/11/2023 5:00:00 AM 8:00:00 AM

WITNESSED BY CLINIC HEAD

REQUESTED BY: APPROVED BY OCMHPD:

__________________________________ __________________________________
Employee Name & Signature Signature over Printed Name

POLYSERVE PHILIPPINES, INC.

OVERTIME AUTHORIZATION FORM
(Rest Day & Holidays)
 POLYSERVE PHILIPPINES, INC.
OVERTIME AUTHORIZATION FORM
(Rest Day & Holidays)

NAME: COMPANY ASSIGNMENT:

POSITION:
AUTHORIZED OVERTIME
DATE PURPOSE NO. OF HOURS
FROM TO

SIGNATURE OVER PRINTED NAME

APPROVED BY
 POLYSERVE PHILIPPINES, INC.
LEAVE APPLICATION FORM

NAME: DEPARTMENT:
POSITION: DATE FILED:

TYPE OF LEAVE (CHECK APPROPRIATE BOX)

Vacation Leave with Pay Vacation Leave w/o Pay

Sick Leave with Pay Sick Leave w/o Pay
Undertime Others (Please Specify) _____________________

NUMBER OF DAYS: _______________________ NUMBER OF MINUTES: _______________________

DATE (S) OF LEAVE

FROM TO

REASON

CAN BE REACHED AT:

ADDRESS:
CONTACT NUMBER:

_________________________________________ FOR AGENCY USE ONLY

Employee's Signature ___________ Leave entitlement as of this application
 ___________ Availed Leave
Approved Disapproved ___________ Remaining Leave Balance

_________________________________________ _____________________
Signature Over Printed Name Date
Immediate Supervisor
___________