Sample Domestic Worker Time Sheet

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Sample Domestic Worker Time Sheet
Domestic Workers have the right to inspect payroll records at reasonable times. Employers are obligated to keep
these records for at least three years, pursuant to M. G. L. c. 151, § 15 and in accordance with 940 CMR 32.04.
Employee Name:
Employee Address:
Occupation:
Overtime hours are any hours worked over 40 in one week.
Leave time used may include rest time, sick time, vacation time, or personal days.
Date
Start Time
End Time
Regular
Overtime
Total Hours
Leave Time Used
Hours
Hours
(specify type)
Weekly
Totals
Employee
Signature:
Date:
Supervisor
Signature:
Date:

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