Time Distribution Report - Arizona Department Of Education
ADVERTISEMENT
1
2State of Arizona
Department of Education
TIME DISTRIBUTION REPORT
Employee Name:
Position:
Month/Year:
Work Hours
CACFP Administrative
Food Service Operational
Totals
Tasks
Tasks
A.
B.
C.
Day
Start
End
e.g., Managing, planning,
e.g., point of service meal counts,
Total Hours Worked for
recordkeeping, training, monitoring
ensuring correct portion sizes, ensuring
the day
all foods served at once
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Administrative Hours Worked
Total Operational Hours Worked
Total Monthly Hours Worked
Alternate Certificate Statement: I certify that I am on a fixed work schedule.
My workdays are
through
. My work hours are
a.m. to
p.m. I did not work outside the
hours of my fixed schedule, and all my work hours were spent performing Food Service duties.
I certify that all information is true and correct.
Signature – Employee
Date
Approval:
Signature – Supervisor
Date
Form revised January 2015
I:\Health_and_Nutrition\CACFP\Centers\General Documents\
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal