11/11
WICHITA STATE UNIVERSITY IN-OUT POSITIVE TIME REPORTING
PAYROLL PERIOD FROM
to
POSITION NUMBER
NAME
myWSU ID
WEEK 1
DAY DATE IN OUT IN OUT IN OUT
HOURS
WORKED
SUN
MON
TUE
WED
THR
FRI
SAT
HOURS WORKED THIS WEEK
WEEK 2
DAY DATE IN OUT IN OUT IN OUT
HOURS
WORKED
SUN
MON
TUE
WED
THR
FRI
SAT
HOURS WORKED THIS WEEK
TIME WORKED RECORD
Grand Total
01 to 07 MINS.
.00 HR.
08 to 22 MINS.
.25 HR.
23 to 37 MINS.
.50 HR.
Entered by/Date _________/_______
38 to 52 MINS.
.75 HR.
53 to 67 MINS.
1.00 HR
Audited by/Date _________/_______
I affirm that the information contained in this document is complete and accurate. I also affirm that this contains a complete and
accurate record of my time worked for the period stated. All hours worked or leave time taken are represented accurately on this
document. If changes occur that alter this record I understand it is my responsibility to submit those to the appropriate timekeeper
within 10 business days.
EMPLOYEE’S SIGNATURE____________________________________________
SUPERVISOR’S SIGNATURE__________________________________________
Budget Officer (when authorizing extra hours paid) ________________________________________
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