PALO VERDE COMMUNITY COLLEGE DISTRICT
CLASSIFIED EMPLOYEES TIME REPORT
Name: _______________________________________________ Employee # ____________________
For the period from __________, 20____ To __________, 20____ Pay Period #
________________________
1 2 3 4 5 6 7 PAYMENT CODE
1. Employees on monthly pay indicate number of
hours worked.
2. Employees working on hourly overtime or
substitute basis use
reverse side. Substitutes indicate absent employees.
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ABSENCE CODE
A – Absent (No Pay)
S – Sick Leave
B – Bereavement Leave (_________________)
V – Vacation relation
H – Holiday
O – Other * (__________________)
FI – Family Illness * explain
I – Industrial Leave
SB – School Business
J – Jury Duty
P – Personal
C – Comp Time
__________________________________
Approved Supervisor’s Signature
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
I HEREBY CERTIFY that I have worked on all regularly assigned hours and days
except as noted.
_____________________________________________
Signature of Employee
