Timesheet Submission Form

ADMIN COPY:

Enter email address to receive copy for payroll processing

Employee Name*:

Employee ID*:

Pay Period*:

Week Starting Date*:

Monday

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Tuesday

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Wednesday

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Thursday

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Friday

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Saturday (if applicable)

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Sunday (if applicable)

Start Time:

End Time:

Break Duration (minutes):

Project Code:

Overtime Authorization Number (if applicable):

Notes:

I certify that this timesheet is accurate and completeI understand that falsifying time records is grounds for disciplinary action