Weekly Time Sheet Template

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Hinds County School District Weekly Time Sheet
Work week beginning 12:01a.m. Monday________________and ending Sunday 11:59 p.m.___________________
(M-D-Y)
(M-D-Y)
Employee Name:__________________________________Social Security #:_______________________________
Place of Employment:________________________________Position:____________________________________
Total Hours
Comp Time
Overtime for
List # of hours and
REGULAR DUTY
Worked
Earned
Pay (Attach
reason for not
(Attach
Form)
working sick,
(Employees are required to complete this form personally with the exact times
Form)
personal, vacation,
of arrival & departure.)
etc
Morning
Afternoon
Day of Week
Start
Finish
Start
Finish
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Totals for the Week:
Total Hours
Rate of Pay
Earning
Reason for
SPECIAL OR AFTER HOUR WORK DUTY
Worked
Work/Duty
(Use this area to document employee time in cases where the district will be
reimbursed.)
Morning
Afternoon
Day of Week
Start
Finish
Start
Finish
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Totals for the Week:
Retirement 12%
Social Security/Medicare 7.65%
Total Reimbursement:
I hereby certify that the above record of employment is true and correct to the best of my knowledge.
__________________________________________
____________________________________________
Signature of Employee:
Signature of Supervisor:
____________________________________________
Title:
Forms arriving after the due date will be processed in the following payroll period.

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