Form Page: Time

GENERAL INFORMATION

WAIVER STAFF

Employee
ID#

Name

WAIVER RECIPIENT

Email Address

Time Out

ID #

WEEK & RATE

Name

(This sets all dates below.
Only change dates here!)

Friday's Date - First Day of Work Week

YYYY-MM-DD

WEEK OF:

TIME SHEET

FRIDAY

Do not change date.

RATE

Time In

Time Out

HOURS WORKED

Do not change date.

SATURDAY

Time In

Time Out

Time In

Time Out

HOURS WORKED

Do not change date.

SUNDAY

Time In

Time Out

Time In

Time Out

HOURS WORKED

Do not change date.

MONDAY

Time In

Time Out

Time In

Time Out

HOURS WORKED

TUESDAY

Do not change date.

Time In

Time Out

Time In

Time Out

HOURS WORKED

WEDNESDAY

Do not change date.

Time In

Time Out

Time In

Time Out

HOURS WORKED

THURSDAY

Do not change date.

Time In

Time Out

Time In

Time Out

HOURS WORKED

SUMMARY

TOTAL HRS WORKED

Signature

Easter Seals requires that you certify your time sheet by submitting an electronic signature. To certify your time sheet (1) read the statement below (2) provide an electronic signature (type your name) and (3) click Confirm Signature.

I certify that my time sheet is accurate and true...that I worked these exact hours with the Waiver Recipient named above.

Enter
Electronic
Signature