Payroll Information /Time Sheet
Your S.I.N. and student number are being collected under the authority of the Brandon University Act
and will be used for Revenue Canada reports. It is protected by the Protection and Privacy provisions
of the Freedom of Information and Protection of Privacy Act. If you have any questions about the
collection, contact the Chief Human Resources Officer, Human Resources, Brandon University.
FOR HUMAN RESOURCES
USE ONLY
1
EMPLOYEE NAME:
FACULTY/DEPT:
BU EMAIL: @brandonu.ca
PERMANENT A
DDRESS:
POSTAL CODE: DATE OF BIRTH (M/D/Y):
BRANDON UNIVERSITY STUDENT No. SOCIAL INSURANCE No.
EMPLOYMENT DATES: TO:
CLASSIFICATION:
BUDGET CODE:
PAID: Bi-weekly UN
ION:
JOB TITLE:
SALARY/WAGE $ PER:
I AUTHORIZE MY SUPERVISOR TO ENTER MY HOURS
ON MY BEHALF :
AUTHORIZED BY:
DATE:
START DATE
END DATE
PRESIDENT, V-P, DEAN DEPT. HEAD
2
EMPCENTER APPROVAL
LEVEL 2
LEVEL 3
3
REASON:
HRS/DAYS R.O.E. REQUESTED: YES NO
TERMINATION DATE:
VACATION/BANKED TIME OWING
REMARKS:
AUTHORIZED BY:
DATE:
TIMESHEET FROM: TO:
AUTHORIZED BY:
DATE:
O/T BANKED
WEEKEND PREMIUM
STAND-BY
TOTAL HOURS PAID:
REGULAR
NIGHT PREMIUM
CALL-BACK
CERTIFIED CORRECT
EMPLOYEE:
SUPERVISOR (print/sign):
HUMAN RESOURCES:
DATE IN OUT REG O/T
4
5
PAYROLL OFFICE USE ONLY
TIME HOURS RATE AMOUNT
REGULAR
OVERTIME
% VAC.PAY
DATE IN OUT REG O/T
DUES: yes
(rehire date if applicable)
PAYROLL OFFICE USE ONLY
Group Name
REMARKS (including a detailed description of duties performed):
PHONE:
first name
last name
