Bldg. Room #
Pay Period Beginning: Ending:
(Enter Beginning Date Only--Other Dates are Formula-Driven)
Thu. 1/0/00
Fri. 1/1/00
Sat. 1/2/00
Sun. 1/3/00
Mon. 1/4/00
Tue. 1/5/00
Wed. 1/6/00
Thu. 1/7/00
Fri. 1/8/00
Sat. 1/9/00
Sun. 1/10/00
Mon. 1/11/00
Tue. 1/12/00
Wed. 1/13/00
1.
2.
3.
4.
5.
Date
Total Hours
Worked:
Out
S
STUDENT PAYROLL - KNAPP HALL 123
STUDENT ASSISTANT PAYROLL
Department Account Number:______________________________________
Student Name:____________________________
Department Name:_______________________________________________
InIn
Student: Complete ALL blanks, sign and submit to your supervisor when you finish work for the pay period. Late time sheets cannot be paid
until the following pay period.
Record hours "in" and "out" daily. Hours worked must be recorded in quarter hour units (e.g. 9:15 A, 12:30 P) in ink.
Student ID:_______________________________
Hourly Rate:______________________________
Hours
Worked
(Exclude
Lunch)
I certify that the days and hours worked as recorded above are correct. I certify that the days and hours indicated above represent time
worked by the student including any holiday hours noted and
initialed by me, and that the student is entitled to payment
thereof.
Record Hours 'In' and 'Out' Daily
(Format: In: 9:15 A Out: 12:30 P)
Out
Supervisor: Review time sheet for accuracy, initial all approved holiday work, sign certification and submit only the original copy to the Payroll
Office for payment.
Out
Day
College of Agriculture and Technology
Student's Signature Date Supervisor's Signature
Weekly Total
A work period cannot extend beyond six hours without taking a lunch break of at least one-half hour, which must be
shown on the time sheet. The appropriate amount of time will be deducted where applicable.
All hours worked on a holiday must be initialed by the supervisor before payment can be made.
Total Amount $
A
Weekly Total
Dates
Office Phone Number:
In
click to sign
signature
click to edit