Hourly Non Benefited Employee Timesheet
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1
2HOURLY
PAY PERIOD
CSU, CHICO RESEARCH FOUNDATION
NON-BENEFITED
Building 25, CSUC
Chico, CA. 95929-0246
EMPLOYEE TIMESHEET
(530) 898-6811
__________ TO _________ 20___
USE BLACK OR BLUE INK ONLY
Project
Object
Pay Rate
Regular
Overtime
Employee Name:
Employee ID Number
(NOT CSUC ID):
Employee Signature:
By signing this time card, I certify that the recorded time accurately and fully reflects the time that I worked
during the designated pay period unless otherwise expressly noted on this timecard and initialed by my supervi-
sor. I also certify that, during the below designated pay period, I was provided, and I took, all meal periods and
rest periods to which I was entitled to take under the law, unless I have expressly stated (and initialed) on this
time card that I did not receive either a meal or rest period. I am aware that overtime hours are paid when
worked hours are in excess of 8 in one day or 40 in one week Sunday through Saturday. All overtime hours
must be authorized in advance by my supervisor.
TOTALS
Be certain to show the same name and initials
Day
Date
Time In
Time Out
Time In
Time Out
Time In
Time Out
Regular
OT Hrs.
that originally appeared on your W-4 form.
1st
16th
Any change in name, address, or exemptions must be made on
a new W-4 form and Employee Administrative Data form.
2nd
17th
3rd
18th
4th
19th
5th
20th
6th
21st
7th
22nd
Authorized Supervisor Signature(s):
8th
23rd
9th
24th
10th
25th
___________________________ Project # _____
11th
26th
12th
27th
___________________________ Project # _____
13th
28th
14th
29th
___________________________ Project # _____
15th
30th
The above signature(s) certifies that this time record is
31st
accurate and has approved all overtime listed
TOTAL HOURS
14/15
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