BLUE RIDGE AREA HEALTH EDUCATION CENTER

-665480-12827000Community Health Interpreting, Testing and Training Service A Program of the Institute for Innovation in Health and Human Services James Madison University MSC 9009 Harrisonburg, VA 22807 Phone: 540.568.3011 Fax 540.568.3172 INTERPRETER TIME SHEET for Appointments forAfter Hours On-Call (Sentara RHM)All OthersInterpreter’s Name: ____________________________________ Pay Period: ______________________I hereby certify that all information on this Time Sheet has been entered correctly and checked for accuracy. Employee/Interpreter Signature: _________________________________________ Date: ____________Appt.DateAppointment Site(clinic name or street address)Appointment ID #(begins with M20-, E20-, SS20-, B20-, etc.)Arrival Time(including am or pm)Departure Time(including am or pm)Total Time(by interpreter)Total Hours(Office use only)Office Use OnlyTotal Hours: __________Approved by __________ Audited by _________ ................
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