Tarleton State University Weekly Report Of Hours Worked For Monthly Employees For Payment Of Overtime

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Tarleton State University
Weekly Report of Hours Worked for Monthly Employees for Payment of Overtime
Adloc
Employee Name
Social Security Number
Department Name
Week Beginning Date: _______________________
mm/dd/yy
Monday
Tuesday Wednesday Thursday
Friday
Saturday
Sunday
Total
Hours worked
Holiday hours
Leave hours to be listed on Monthly Report of Leave Requested/Taken:
Vacation hours taken
Sick Leave hours taken
Compensatory hours taken
Other (Jury, FMLA, Emgncy,
Other, LWOP)
*Note: A signed overtime approval letter must be on file in the Payroll Office prior to overtime being worked or submitted.
Payroll Office Use Only
Monthly Salary
Summary:
Longevity Pay
@
=
Overtime (1.5)
On Call Pay
@
=
Overtime (ST)
Hazardous Duty Pay
Hours
Rate
Adjusted Salary
Total
X 12 / 2080 =
X 1.5 =
Adjusted Salary
Hourly Rate
Overtime Rate
Account Number to Pay Overtime From
I certify that this work was performed satisfactorily and that the hours
reported on this form are true and correct to the best of my knowledge. I
certify that the information concerning work time and absence is in
I acknowledge that the payroll time on this form is true and
correct.
Supervisor (if required)
Date
Employee Signature
Date
Department Head Approval
Date

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