Pay Period_____________________to______________________
Name:___________________________________ Banner ID Number: _____________________________
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Date
Work
Schedule
Hours Worked
Leave Taken
Compensatory
Time Earned
Reason
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Date
Work
Schedule
Hours Worked
Leave Taken
Compensatory
Time Earned
Reason
Leave Codes:
ANL - Annual SLT- Sick Leave KTE-Comp Time Earned KTT-Comp Time Taken
I hereby certify the hours shown are correct.
Employee Signature Date:
Supervisor Signature Date: