TIMESHEET: ADDITIONAL PAID TIME - MONTHLY EMPLOYEES
Name (last, first) Department #:
Payment Type: Overtime (attach required authorization form) Bargaining Unit:
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
TOTAL =
Employee Signature: Supervisor Signature:
Date Date
Payment Type: Differential - Swing (SRE): 6pm-12am Bargaining Unit:
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
TOTAL =
Employee Signature: Supervisor Signature:
Date Date
Payment Type: Graveyard (SRN): 12m-6am Bargaining Unit:
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
TOTAL =
Employee Signature: Supervisor Signature:
Date Date
For Payroll Use Only:
Only one
payment type
per timecard
Only one
payment type
per timecard
Only one
payment type
per timecard
Pay Period:
for straight time indicate
OT5 in box above hours
for holiday OT indicate
HG6 in box above hours
For Payroll Use Only:
For Payroll Use Only:
rev: 09/2013
Total Callback Hours Worked: _________
Total Straight Hours Worked: ________
Certification of Overtime Worked:
Overtime Hours Worked for Pay
Supervisor's Signature Date
Overtime Worked for CTO
Total Premium Hours Worked: ________
Authorization for Payment of Overtime
Employee's Signature Date
Overtime Authorized by:
Pre-Authorized Signature: Date:
Pre-Authorized Signature: Date:
Overtime Hours Worked
Social Security # Name:
Bargaining Unit (circle): 2 4 5 7 9 10
Date:
(mm/dd/yy)
Time
(From)
Time
(To)
Total Hours
Call Back
Hours
S= Straight or
P - Premium
Describe Duties Performed
Department: