Fillable CREW TIME CARD XXX XX 2300 Empire Avenue,

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CREW TIME CARD XXX XX 2300 Empire Avenue,

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PROD N
o
SOCIAL SECURITY NUMBER
FEDERAL EMPLOYER ID N
O
XXX XX
2nd MEAL
BTL TC
VER. 03/19
7 Penn Plaza, Suite 601
New York, NY 10001 3912
CREW TIME CARD
2300 Empire Avenue, 5th Floor
Burbank, CA 91504 3350
PROJECT TITLE
EMPLOYEE NAME
LOAN OUT CORPORATION
HOURS
HOURLY RATE
OCCUPATION
WEEK ENDING
ACCOUNT N
O
WORK STATE
FRINGE ACCOUNT N
O
TERMINATION DATE
WORK CITY
DATECITYSTATE
CALL WRAP
1st MEAL
OUT IN OUT IN
D
A
Y
S
M
T
W
T
F
S
1X 1.5X 2X 2.5X
MEAL
PENALTY
ACCOUNT N
O
SER LOC SET
PAY
CODE
HRS RATE AMOUNT
CHECK
ONE
BOX RENTAL INFORMATION ON FILE
BOX INFORMATION ATTACHED
TOTAL
PER DIEM PD1 HOUSING PD2
ACCT N
O
TAXABLE
$
$
EMPLOYEE
SIGNATURE
APPROVAL
SIGNATURE
NON TAXABLE
$
$
ADVANCE
ACCT N
O
$
MILEAGE
ACCT N
O
TAXABLE
$
CAR ALLOWANCE
ACCT N
O
$
CELL ALLOWANCE
ACCT N
O
$
BOX RENTAL
ACCT N
O
ACCT N
O
TAXABLE
$
NO WITHHOLDING
1099
NON TAXABLE
$
X
X
PER
ADV
ADVANCE
ACCT N
O
$
REIMBURSE
ACCT N
O
$
ADVADV MLG ML1 CRA CELL EQREQP
PD2
PD1
$
By signing this form, you cer fy that you have reviewed the informa on on this record and it accurately reflects all your start and stop mes of work, including meal breaks, in this period. If no hours are indicated, me will be
computed based on specific labor law minimums. You also agree that the employer may take deduc
ons from your earnings to adjust previous overpayments if, and when, said overpayments occur.
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Completed 13 August 2021

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