Contact payroll with questions: payroll@up.edu
Complete a separate form for each week.
UP ID Number: _______________ __ Organization Number: _______ ___
Name: _____________________________ Hourly Rate/Pay Amount: _____________
Position Number: ____________________ Pay Period:
*The late timesheet will be processed and paid within 10 days of receipt or added to the next
regular payday, whichever occurs first*
DATE WORKED
MM/DD/YY
PAY CODE
REG/SICK/
VAC
TIME IN
AM/PM
MEAL
BREAK
OUT
AM/PM
MEAL
BREAK IN
AM/PM
TIME OUT
AM/PM
TOTAL
HOURS
WEEKLY TOTAL
Please provide a reason for why the above hours were not entered electronically
Employee Signature: Date:
Your signature certifies that this information is accurate and complete.
Supervisor Name: Supervisor Signature: Date: Ext:
I certify that the above hours reported are actual hours worked, true and accurate.
* I understand that proper and timely reporting of my hours is a job expectation. A recurring failure to
do so may result in disciplinary action up to, and including termination.
Employee Signature:
click to sign
signature
click to edit
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