Lamar State College Port Arthur
Self-Quarantine Guidelines
January 2021
Page 5 of 5
Remote Work Time Sheet
Employee Name: _____________________________________________________
Department: ____________________________________________
Pay Period (Month): ______________________________________
Activity
Completed
Date Time Started Time Completed
Total Hrs
Worked
I hereby certify all time reported above is accurate and correct.
Employee Signature: ______________________________ Date:________________
By the signature below, I certify this time sheet is a true statement of the time worked by
this employee and the hrs listed represent the remote work authorized.
Supervisor Signature: _____________________________ Date:________________
Print Supervisor Name: ___________________________________________________
Return the completed form to Human Resources to Tammy Riley at
Rileytl@lamarpa.edu
