Student Assistant Hourly Time Sheet Template
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1STATE UNIVERSITY OF NEW YORK AT NEW PALTZ
STUDENT ASSISTANT HOURLY TIME SHEET
1. Time sheet must be completed in ink and be legible. Hours
worked must be in even units of hours and quarter hours.
For example: 1, 1
⁄
, 1
⁄
, or 1
⁄
1
1
3
4
2
4
FULL NAME ______________________________________
2. Payments can ONLY be made after a completed Student
(PRINT CLEARLY)
Asistant Appointment Form, current IT2104 or IT2104E
LAST 4 DIGITS OF SOCIAL SECURITY #
form, and current I-9 are on file in Payroll.
3. You may not work more than 20 hours a week for all jobs
combined while school is in session. You must take a half
ACCOUNT NUMBER ______________________________
hour break when 6 consecutive hours have been worked.
4. Time sheets are due in Payroll by the scheduled deadline.
Please refer to the Payroll Schedule – Work Study and
DEPARTMENT ____________________________________
Student Assistant, for deadline dates and paycheck dates.
5. Incomplete time sheets will be returned to the department
TYPE OF WORK __________________________________
and will delay payment to the student. All fields must be
completed.
LUNCH
LUNCH
DAY
DATE
IN
OUT
DAY
DATE
IN
OUT
HOURS
HOURS
WORKED
WORKED
OUT
IN
OUT
IN
THURS
THURS
FRI
FRI
SAT
SAT
SUN
SUN
MON
MON
TUES
TUES
WED
WED
WEEKLY TOTAL
WEEKLY TOTAL
The time sheet must be submitted to Payroll directly
“I certify that the above hours are correct.”
from the supervisor (either in person, through campus
mail, or Payroll dropbox) by the deadline date.
STUDENT
DATE
TOTAL HOURS WORKED __________________________
“I hereby certify that the above is a true statement of the
hours worked by the above employee and that the
RATE OF PAY
________________________________
employee has performed his assigned duties in a
satisfactory manner. I further certify that the hours worked
do not exceed those authorized.”
AMOUNT DUE
________________________________
AUTHORIZED SUPERVISOR
DATE
Distribution:
White - Payroll Office
Yellow - Supervisor
Pink - Student
SUPERVISOR – PRINTED NAME
4/09 34-006
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