| Record # | |||
| Department | 385000000 | Position# | |
| FLSA | FTE |
| Name:_______________________ | SS#:________________________ | Unit Charged:________________ |
| Employee ID#:________________ | Pay Ending Date:______________ |
Week 1
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| REG SP1 | ||||||||
| SCK | ||||||||
| VAC | ||||||||
| OTP | ||||||||
Week 2
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| REG SP1 | ||||||||
| SCK/SCE | ||||||||
| VAC | ||||||||
| Codes for leave used and hours worked other than regular hours can be found at the HRS Web Site: (click on Payroll Information, then Reporting Time Worked & Leave Taken, then Earnings Codes) |
The following is a true statement of hours worked in the period indicated.
| _____________________________________ | _____________________________________ |
| Employee Signature | Authorized Signature |