Employee Name: _________________________________________________
Employee ID: _________________________________________________
Department Name: _________________________________________________
Position Name: _________________________________________________
Pay Period Begin: __________________ Pay Period End: __________________
Day of Week Time IN Time OUT Lunch Duration Other Comments
Week 1
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Week 2
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Employee Signature:
_________________________________________________
Date: ________________
Supervisor Signature:
_________________________________________________
Date: ________________
Supervisor Print Name: _________________________________________________
Revised 5/18/2012
ARTICtime Student Adjustment Form
Adjustment Types
Note: Complete the form by indicating the corrections/adjustments to
be made to the timesheet to ensure it is complete and accurate for the
pay period. Please attach additional sheets as necessary.