Weekly Time Card - Hr Ledger
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1Weekly Time Card
Name: _______________________________
Employer: ____________________________
Employee Number: ___________________
Week Ending (Date) ____________________
Division: ___________________________
Department ____________________
Day of the Week
In
Out
In
Out
Regular
Overtime Hours
Other
Notes*
* provide reasons for “No Hours Work”
Weekly Totals
Because of the requirements of Federal and State Laws, it is
I hereby certify that the above is an accurate record of time
imperative that this record be filled in completely and accu-
worked during this period.
rately. Under no circumstances must time worked be unre-
corded.
_______________________________
EMPLOYEE SIGNATURE
(800) 451-1136
To the best of my knowledge the above record is correct.
(800) 451-1137 fax
_____________________________________
SUPERVISOR SIGNATURE
Weekly.pdf (Rev.10/04)
C
UT HERE
Weekly Time Card
Name: _______________________________
Employer: ____________________________
Employee Number: ___________________
Week Ending (Date) ____________________
Division: ___________________________
Department ____________________
Day of the Week
In
Out
In
Out
Regular
Overtime Hours
Other
Notes*
* provide reasons for “No Hours Work”
Weekly Totals
Because of the requirements of Federal and State Laws, it is
I hereby certify that the above is an accurate record of time
imperative that this record be filled in completely and accu-
worked during this period.
rately. Under no circumstances must time worked be unre-
corded.
_______________________________
(800) 451-1136
EMPLOYEE SIGNATURE
To the best of my knowledge the above record is correct.
(800) 451-1137 fax
_____________________________________
SUPERVISOR SIGNATURE
Weekly.pdf (Rev.04/03)
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