Non-Exempt Employee Time Record
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________LOCATION: _________________________________
PAY PERIOD: December 25, 2019 To: January 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:______**Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: _____________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION: _________________________________
PAY PERIOD: January 9, 2020 To: January 24, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _________**Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ______________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION: _________________________________
PAY PERIOD: January 25, 2020 To: February 7, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ____ Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________Date Approved: ______________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION: __________________________________
PAY PERIOD: February 8, 2020 To: February 21, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:_____ *Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: _____________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________LOCATION: _________________________________
PAY PERIOD: February 22, 2020 To: March 6, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _______*Note: Overtime should be authorized in advance.
Supervisor’s Signature: ___________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: __________________________________
PAY PERIOD: March 7, 2020 To: March 24, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ___________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: ___________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: ___________________________________
PAY PERIOD: March 25, 2020 To: April 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ___________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:______*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ______________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: ___________________________________
PAY PERIOD: April 9, 2020 To: April 23, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:______*Note: Overtime should be authorized in advance.
Supervisor’s Signature: __________________________________ Date Approved: ________________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: ___________________________________
PAY PERIOD: _____ April 24, 2020 To: May 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:_____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: _______________________________
PAY PERIOD: May 9, 2020 To: May 22, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:_____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________ LOCATION: ________________________________
PAY PERIOD: May 23, 2020 To: June 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _______________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ________**Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: _________________________ LOCATION: ________________________________
PAY PERIOD: June 9, 2020 To: June 23, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:____**Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________LOCATION: _______________________________
PAY PERIOD: _____ June 24, 2020 To: ______July 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________ LOCATION: _______________________________
PAY PERIOD: July 9, 2020 To: July 24, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ___________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:____**Note: Overtime should be authorized in advance.
Supervisor’s Signature: __________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________LOCATION: __________________________________
PAY PERIOD: July 25, 2020 To: August 7, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _______*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________LOCATION: _________________________________
PAY PERIOD: August 8, 2020 To: August 24, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: __________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid:_____ **Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________LOCATION: ________________________________
PAY PERIOD: August 25, 2020 To: September 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ___________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: _______________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION: ___________________________________
PAY PERIOD: ___September 9, 2020 To: September 23, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ____ *Note: Overtime should be authorized in advance.
Supervisor’s Signature: __________________________________ Date Approved: __________________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________ LOCATION:
PAY PERIOD: September 24, 2020 To: October 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ______ **Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: ___________________________ LOCATION: ______________________________
PAY PERIOD: October 9, 2020 To: October 23, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: __________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _______**Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION:
PAY PERIOD: October 24, 2020 To: November 6, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _____ *Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: _____________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION:
PAY PERIOD: November 7, 2020 To: November 23, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ____________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ____*Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved:______________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION:
PAY PERIOD: November 24, 2020 To: December 8, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: _____________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: ____ *Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
Employee Time Record
Semi-Monthly Time Record
NAME OF EMPLOYEE: __________________________ LOCATION:
PAY PERIOD: December 9, 2020 To: December 24, 2020
Employee Status: ( Full Time ( Part Time
|Date |
Employee’s Signature: _______________________________ Date: ___________________________________
*I declare under penalty of perjury that I have accurately recorded all of the hours I worked, I have received all of the meal periods to which I was entitled based on the number of hours I worked, and I have had the opportunity to make any necessary corrections to this time record before I signed it.
SUPERVISOR: Indicate total hours of overtime to be paid: _____ *Note: Overtime should be authorized in advance.
Supervisor’s Signature: _____________________________________ Date Approved: ___________________
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