Employee Time Sheet & Conditions Of Assignment
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1IMPORTANT INFORMATION ABOUT COMPLETING AND SUBMITTING
YOUR TIME SHEET
1.
PRINT NEATLY USING BLACK OR BLUE INK.
2.
ONCE COMPLETED AND APPROVED, PLEASE SUBMIT TO
SELECTEMP.
3.
SUBMIT BY MONDAY TO ENSURE PROMPT PAYMENT.
Time worked for one week only. Start with Monday and end on Sunday at midnight.
Enter time to the nearest quarter hour (.00; .25; .50; .75) only.
WEEK ENDING DATE
DAY
DATE
REGULAR TIME
LUNCH
OVERTIME
TOTAL
/
/
HOURS
From
To
WORKED
From
To
EMPLOYEE INFORMATION
EMPLOYEE NAME
MON
/
TUES
/
LAST 4 DIGITS OF SSN
WED
/
THUR
/
COMPANY NAME
FRI
/
SAT
/
JOBSITE NAME AND/OR PO #
SUN
/
REGULAR
OT TOTAL
☐ ASSIGNMENT COMPLETED
TOTAL
TIME
☐ RETURNING NEXT WEEK
I CERTIFY THAT THE DAYS SHOWN ON THIS
– CLIENT APPROVAL –
TIME SHEET ARE CORRECT AND
WERE WORKED BY ME:
THE HOURS AS SHOWN ON THIS TIME SHEET ARE CORRECT. BY
SIGNING THIS CLIENT APPROVAL, WE AGREE TO BE BOUND BY THE
EMPLOYEE’S
TERMS OF THE CONDITIONS OF ASSIGNMENT AS STATED BELOW.
SIGNATURE:_________________________________
DEPARTMENT & DEPT #:
______________________________________________________
SUPERVISOR SIGNATURE:
_____________________________________________________
PRINT NAME & TITLE:
__________________________________________________________
CONDITIONS OF ASSIGNMENT
Our employee is assigned to you under the following Conditions of Assignment:
1.)
Our employee will present a time sheet to you or to your representative for verification and signature at the end of each week. Your signature thereon
indicates your agreement with all the Conditions of Assignment. By signing this time sheet, the client agrees to pay for the hours approved above. Our
compensation to our assigned employee is on a weekly basis, and you will be billed weekly for the total hours worked. Because Selectemp invoices reflect
payroll we have already paid, our invoices are due upon receipt.
2.)
A conversion fee is payable if you hire our employee assigned to you, regardless of the employment classification, on either a permanent, temporary or
consulting basis within six months after the last day of the current assignment. Client agrees to pay a conversion fee if our employee assigned is hired by a
subsidiary or affiliate or other business as a result of your referral of our employee to that company. Conversion fees will be discussed on an individual case
by case basis.
Supervision of a Selectemp employee’s work on your premises (or wherever you assign the employee) is your responsibility. Any property damage, lost
3.)
production or financial losses of any type are the full and complete responsibility for the client. Selectemp is not liable for any damage of losses caused by our
employee while under client supervision and control.
4.)
It is understood that we will not authorize a Selectemp employee to operate any equipment including automotive equipment without our knowledge. It is
agreed that the client accepts full responsibility for bodily injury, property damage, theft, collision or public liability damaged claims, any of which may be
caused as a result of an accident while a Selectemp employee is operating or using clients equipment including driving the client’s vehicle, whether owned or
rented.
5.)
Each invoice, resulting from this approved time sheet, will evidence a separate and distinct contract. Unless otherwise prohibited by law of the state
where this placement occurred, in the event you fail to pay the charges of Selectemp when due, then you agree to pay all costs of collection of Selectemp,
including reasonable attorney fees, whether or not suit is initiated.
Rev. 11/07/16 wp
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