Name Employee Name Orange boxes are required. Green are optional. Blue are calculated automatically.

Total Paid
Hours: 36.5 Time In and Out Hours to be Paid to Employee Attendance (X)

Approved Early Departure

Approved Working Late

Unapproved Early Out

Unapproved Absence
Approved Absence
Includes Includes Sick

Tardy
Floater Hours Federal Leave Paid Total Paid
Date Day Mid Point Lunch Out Lunch In Out In Finish time Hours Worked Personal Holiday Hours
Time Off
Holiday

12/3/21 Previous Friday 0.0 0 0 0 0

Day Start Time Lunch Out Lunch In Out In Finish time

12/6/21 Monday 4:35 PM 5:20 PM 0.8 0 24 0 24.8

12/7/21 Tuesday 4:34 PM 5:20 PM 0.8 1 2 2 5.8

12/8/21 Wednesday 4:33 PM 5:20 PM 0.8 0 0 0 0.8

12/9/21 Thursday 4:31 PM 5:20 PM 0.8 0 0 0 0.8

Start Time Midpoint

12/10/21 Friday 3:45 AM 8:00 AM 4.3 0 0 0 4.3

"Hours Worked" over 40 are only allowed and paid at the

Timesheet Totals: overtime rate if overtime was approved prior to hours worked. 7.5 1.0 26.0 2.0 36.5 0 0 0 0 0 0

Week Regular Overtime Federal Paid Time

Ending Hours Hours Holiday Off Hours
Payroll Details:
12/10/21 7.5 0.0 27.0 2.0

EMPLOYEE COMMENTS such as overtime

approvals or other types of leave included in
column K (e.g., bereavement)