Monthly Time Record
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1MONTHLY TIME RECORD
IPFW Form No. 1423M (9/13)
NAME
DEPARTMENT
MONTH AND YEAR
Graduate Staff
Limited-Term Lecturer Non-Credit Class
Temporary/Administrative/Professional Staff
Limited-Term Lecturer Extra Duty Assignment
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2
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10
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15
16
Reportable Hours
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31
Reportable Hours
I, the undersigned superrvisor, certify that the hours worked as reported
I, the undersigned employee, certify that the hours worked as reported
above are correct.
above are correct.
EMPLOYEE
SUPERVISOR
Please submit time card to Human Resources in KT G06 no later than the 10th of the following month.
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