Weekly Time Card Template
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1
2- Weekly Timecard -
Name ___________________________________________________
Week Ending
(Please use MM / DD / YY format.)
Client Name _____________________________________________
/
/
Client Address ____________________________________________
Social Security Number
(Please print clearly and inside the lines provided.)
Client City/State/ZIP _______________________________________
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—
Department ______________________________________________
Timecards must be received by 9:00 a.m. Monday morning. Print clearly with a blue or black pen.
MONTH/DAY
TIME IN
LUNCH START
LUNCH END
TOTAL WORK HOURS
OFFICE USE ONLY
TIME OUT
15
30 45
MON
15
30 45
TUE
15
30 45
WED
15
30 45
THU
15
30 45
FRI
15
30 45
SAT
15
30 45
SUN
This Section to Be
15
30 45
TOTAL WORK HOURS
Completed by Contractor
Your signature below authorizes Contractors to pay our employee and bill your company for the number of hours recorded above. You may convert the Contractors’ employee to your payroll, for
a fee of fi fteen percent (15%) of the annualized starting salary, once that employee has worked for you for a minimum of 720 hours (ninety full-time working days) retroactive to the beginning
of each assignment. If you desire to hire the Contractors’ employee before that employee has worked for you for 720 hours, in any capacity whatsoever, including but not limited to retaining
their services as an employee, as an independent contractor, or through another service, you agree to pay a standard conversion fee of thirty percent (30%) of the annualized starting salary.
Contractors are also entitled to attorneys’ fees should we be required to pursue collection.
Invoices are due and payable upon receipt. Payments made after 30 days from the invoice date will include a late charge equal to 7% of the original invoice payment. Client agrees to pay
Contractors in Santa Barbara, California. If any account becomes past due, the entire unpaid balance of the invoice becomes immediately due and payable. Contractors shall have the right to
litigate in Civil Court in Santa Barbara, California all debt-collection matters. In the event collection action is initiated by Contractors to collect such debt, or any portion thereof, Client agrees to
pay any additional sums, including but not limited to, collection costs, interest at the rate of 18% per annum, and attorneys’ fees.
By signing this timecard, I certify the reported hours are accurate and that I have reported all injuries
By signing below, I agree to the terms above and on the reverse side of this
that may have occurred at this job to Contractors. Submission of fraudulent timecard entries may subject
timecard unless a specifi c term or condition would contradict or violate a
employee to prosecution. If my assignment has ended and I do not wish to continue working for Contractors
previously signed purchase order or contract, in which case that term or condition
on another assignment, I will notify my Contractor Representative so a payroll check can be issued.
would prevail.
Employee Signature (REQUIRED)
Authorized Client Signature (REQUIRED)
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