TIME AND ATTENDANCE 2022 - United States Department of State

U.S. Department of State

TIME AND ATTENDANCE 2023

Name

Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Date

Employee Comments

Supervisor Comments

DS-4151 01-2023

Last Start Time End Time

Period Totals:

First

RD

TW

Pay Period

Middle

AL

SL

CU

CW

Other

(Make a selection)

LW

ND

SD

HP

OT

0.00 0.00

0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00

Employee certifies that regular, leave taken, and premium hrs. worked is accurate, and is in keeping with Department regulations.

By checking this box, I, _______________________ , certify that I am the individual submitting this Date (mm-dd-yyyy) document.

Supervisor Action and Certification Supervisor Action

(Select)

By checking this box, I, _______________________ , certify Date (mm-dd-yyyy) that I am the individual submitting this document.

Time Keeper Certification

By checking this box, I, _______________________ , certify that I am the individual submitting this document.

Date (mm-dd-yyyy)

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