Fillable Form 2021: BIWEEKLY RECORD G-6235 Corunna Rd, Suite

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Form 2021: BIWEEKLY RECORD G-6235 Corunna Rd, Suite

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G-6235 Corunna Rd, Suite C
CENTER FOR COUNTYWIDE PROGRAMS…
Flint, MI 48532
BIWEEKLY RECORD
PH: 810-396-1100
Please fill in all date slots even if no hours worked. This helps reduce errors.
Monday Regular Hours ___________ Regular Hours ___________
PTO Hours ___________ PTO Hours
___________
Holiday/Snow Day Hrs ___________
Holiday/Snow Day Hrs ___________
Tuesday Regular Hours ___________ Regular Hours ___________
PTO Hours ___________ PTO Hours ___________
Holiday/Snow Day Hrs ___________ Holiday/Snow Day Hrs ___________
Wednesday Regular Hours ___________ Regular Hours ___________
PTO Hours ___________ PTO Hours ___________
Holiday/Snow Day Hrs ___________ Holiday/Snow Day Hrs ___________
Thursday Regular Hours ___________
Regular Hours ___________
PTO Hours ___________ PTO Hours ___________
Holiday/Snow Day Hrs ___________ Holiday/Snow Day Hrs ___________
Regular Hours
_________
PTO Hours _________ Friday Regular Hours ___________ Regular Hours ___________
Holiday/Snow Day Hours
_________ PTO Hours ___________ PTO Hours ___________
TOTAL PAID HOURS _________ Holiday/Snow Day Hrs ___________
Holiday/Snow Day Hrs
___________
TOTAL STIPENDS _________
Saturday Regular Hours
___________
Regular Hours ___________
Sunday Regular Hours ___________ Regular Hours ___________
Regular Hours ___________ Regular Hours ___________
PTO Hours
___________
PTO Hours
___________
Holiday/Snow Day Hrs
___________
Holiday/Snow Day Hrs
___________
TOTAL PAID HOURS ___________ TOTAL PAID HOURS ___________
E. Bradley 1/7/2020 Time recorded in 1/4 hour increments (i.e. 15 minutes = .25)
NUMBER OF HOURS WORKED
Week 2
DATE
DATE
2021
NUMBER OF HOURS WORKED
Week 1
Please send timeshets to:
Timesheets must be turned in to your
last day that you work in the pay period.
Email: hsncstimesheets@geneseeisd.org -OR-
CCP Fax: (810) 591-4940 (check fax confirmation)
worksite supervisor on the
______________________________
Name of employee
(as shown on your social security card)
______________________________
Position
______________________________
District/Program/Location
______________________________
Signature of employee
______________________________
Name of Supervisor
______________________________
Signature of supervisor
TOTAL PAID HOURS BOTH WEEKS
(DO NOT RECORD UNPAID HOURS)
0
0
0
0
0
0
0
0
0
0
0
0
0
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Form 2021: BIWEEKLY RECORD G-6235 Corunna Rd, Suite

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Completed 3 February 2021

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