PART-TIME STAFF SHIFT PREMIUM
NAME:
BANNER ID:
DEPT:
FOR THE 2 WEEK PERIOD: TO:
EMPLOYEE CLASSIFICATION: REGULAR PART TIME TEMPORARY PART-TIME PNRK
PART-TIME STAFF SHIFT PREMIUM
WEEK 1
Date
REGULAR HOURS
# HOURS ELIGIBLE FOR PREMIUM
FROM
TO
$1.00
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
TOTAL
WEEK 2
DATE
REGULAR HOURS
# HOURS ELIGIBLE FOR PREMIUM
FROM
TO
$1.00
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
TOTAL
Please Note:
Not Eligible PT Employee Classifications: Students, Casual
Shift premium of $0.75/hour for all regular hours worked between 5 p.m. and midnight and $1.00/hour for all regular hours
worked between Midnight and 6 a.m.
EMPLOYEE’S SIGNATURE:
____________________________________________________
DATE:
_______________
FOAPAL:
42505
APPROVAL:
_____________________________
FUND
ORG
ACCT
PROG
ACT
LOC
0
0
0
0
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