Fillable HOW TO SEND IN YOUR TIMESHEET OR

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HOW TO SEND IN YOUR TIMESHEET OR

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HOW TO SEND IN YOUR TIMESHEET
EMAIL: PAYROLL@ALLIANTSTAFFING.COM
OR
FAX: (800) 792-1380
Timesheets are due by NOON every Monday for the pre
vious work week.
If you have any questions/issues, please email payroll@alliantstaffing.com.
Facility Authorized Representative to initial for approved overtime and missed breaks/no lunches*
Day
Date Unit
Shift
(D/E/N)
Time In Time Out
Less
Break
Hours
Worked
*Facility
Authorized
Representative
Initials
SUN
MON
TUES
WEDS
THURS
FRI
SAT
D= Day; E= Evening; N=Night
Total Hours:
Classifications
RN
ST
GNA
CNA
CMA
SITTER
PT
PTA
OT
COTA
SLP
Other:
Employee Signature:
Facility Authorized Representative: (Please print name and title)
Authorized Representative Signature:
__________________________________ Date
: ___________________
I certify that the information recorded on this time slip is accurate and complete.
Facility:
Employee Name:
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Completed 9 December 2020

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