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Timesheet

Participant Details:
Name: D.O.B: NDIS Number:

Support Worker Details:

Name: Sawsan Nakhla Date: 1/3/2024


Payment Claims
Duty Hours Shift Verification
Start Date Time Total Hours (hrs/min) Support Provided Participant/Nominee
(DD/MM/YY) In Out Signature

19/2/24 5 Hours Community access plus PC

20/2/24 5 Hours Community access plus PC

21/2/24 5 Hours Community access plus PC

26/2/24 5 Hours Community access plus PC

27/2/24 5 Hours Community access plus PC

28/2/24 5 Hours Community access plus PC


Timesheet
TOTAL HOURS WORKED THIS WEEK: 36 Hours
Disclaimer: I, hereby certify that this timesheet is a true and accurate record of my attendance and supports were provided to the participant as per their service agreement.

Employee Signature: ___________________________________ Full Name: Sawsan Nakhla Date: 1/3/2024

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