REAL LIFE LIVING SERVICES

TIME SHEET

NAME_________________________________________ EMPLOYEE # __________ BRANCH & DEPT #:__________________ PAY PERIOD STARTS SUN: _______/_______/_______ OTHER BRANCH/DEPT WORKED:__________________________ PAY PERIOD ENDS SAT: _______/_______/_______
WEEK DATE O NE DAY SU MO TU WE TH FR SA TIME IN TIME O UT TIME IN TIME O UT

HOURS
REGULAR TRAINING O .T. HO LIDAY P.L. TO TALS CO MMENTS

Sub Total Week 1

WEEK TWO DATE DAY SU MO TU WE TH FR SA TIME IN TIME O UT TIME IN TIME O UT

HOURS
REGULAR TRAINING O .T. HO LIDAY P.L. TO TALS CO MMENTS

Sub Total Week 2

GRAND TOTALS **SUPERVISOR USE ONLY**

Supervisor C he ck We e k 1 Total We e k 2 Total GRAND TO TAL Falsification of this form is grounds for disciplinary action. Pay checks will be held until this form is completed accurately. This time sheet is subject to administrative adjustment and audit. Timesheets received over 30 days late will not be payed. Re gular Training O .T. Holiday P.L. Total Hours Comme nts

If a misstatement of hours worked or leave hours used, advancement of personal leave time, or payroll error results in an overpayment to me, I authorize deductions of such additional amount from subsequent or final paycheck. I certify that the above is a complete and accurate work record and has been completed according to the instructions on the back. ____________________________________________ Employee Signature Date ____________________________________________ Supervisors Signature Date _________________________________________________ Client and/or Guardian Signature Date __________________________________________________ Client and/or Guardian Signature Date

TIME SHEET INSTRUCTIONS COMPLETE IN BLUE OR BLACK INK ONLY

Hourly Employees: Fill out all information on the Time Sheet completely and accurately. DO NOT enter any information within the Supervisory Check or Office Check boxes. The supervisor must submit completed Time Sheets to the Financial Liaison at 9a.m. Wednesday following the end of the pay period. Time Sheets WILL BE RETURNED TO EMPLOYEES AND PAY CHECKS WILL NOT BE PROCESSED if the rules below are violated. The pay check will be processed when a new or corrected Time Sheet is accepted by the Financial Liaison.

GENERAL RULES
Violation means the Time Sheet will be returned and pay will not be processed until corrected Time Sheets are submitted to the Financial Liaison. Paychecks will be processed for the next available payroll. 1. 2. 3. 4. 5. 6. No correcting fluid may be used to change an entry. All entries must be in permanent ink pen. BLUE OR BLACK INK ONLY Time Sheets which have an error on them can be corrected by placing a single line through the error, writing the correction in, and having the employee initial the change. The supervisor may neither make the change for the employee, nor initial the change for the employee. Employees must sign and date his/her own time sheets. No employee may sign or make any entry onto another employees time sheet. Employees must sign and date time sheet on the last day worked in the pay period. Time sheet must be signed by all clients/guardians involved. The personal leave authorization form - approved by your supervisor - must be attached to the Time Sheets which request payment for P/L time. Time Sheets must be thoroughly completed, following the Time Sheet instructions below.

TIME SHEET INSTRUCTIONS

Name & Employee #: Branch/Dept #: Other Branch/Dept: adjacent to This Pay: Week 1: Week 2: In/Out: Please print legibly. Enter the branch and dept # where you worked the hours. Complete separate Time Sheets for every dept where you worked. List all other dept.s where you worked. If you require additional space, use any space this box. Enter the starting and ending dates of the pay period, including the year. Be sure to record your hours in the correct week of the pay period. 1. Round all times to the nearest 15 minutes according to the clock-graphic at your work site. 2. Note A.M. or P.M. for all times entered. 3. A second set of In/Out boxes are provided, if you work two shifts within the same day. 4. If your shift runs past midnight, make separate entries for the portion of your shift before midnight, and the portion after midnight on the appropriate line each day. Example: This is how to record a shift from 11:00 P.M. Sunday to 7:00 A.M. Monday: IN OUT SUN 11:00 P.M. 12:00 A.M. MON 12:00 A.M. 7:00 A.M. Sub Totals (Employee): Week 1 & Week 2: Once you have entered the hours for a week, enter the totals at the bottom. Grand Totals (Employee): Week 1 & Week 2: Add the subtotals for week 1 and week 2 in the boxes provided for the type of hours worked. Signature & Date: Sign & date the Time Sheet and give it to your supervisor for signature and processing. Comments: You may provide any comments or explanations about your Time Sheet here. Please make sure to make a note about any hours that were not your regularly scheduled hours to assure correct processing.

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