Worker Timesheet
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1Domestic Worker Timesheet
Based on
M.G.L. c. 149, § 190, M.G.L. c. 151, §§ 1B and 15
The Massachusetts Attorney General’s Office prepared this Sample Timesheet. You may use it to track hours worked.
Working time includes all time a worker must be at a specific place or does work for the employer. Breaks of less than 20 minutes or breaks where an employee must stay on
site or duty generally must be paid.
Time worked beyond 40 hours in a week must be paid at an overtime rate of 1.5 × regular hourly wages.
Employers must keep timesheet and pay records for at least 3 years. Workers have the right to see those records at reasonable times.
Worker’s Name:
Address:
Job Title:
Date Worked
Start Time
End Time
Unpaid Break(s)
Total Working Hours
Leave Hours Taken
Sick
Vacation
Other (specify)
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Total Regular
Hours
Notes:
Total Overtime
Hours
Worker signs here
Date
Employer /Supervisor signs here
Date
Note: If you are a worker and you don’t think this form states the correct number of hours you worked, you may make note of the hours you believe you worked.
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Parent category: Business