Employee Name Phone Email
*NEW* Calculator W/O E-Form
(Manual Fill-In)

Address City State Zip

Company Name Supervisor Name Supervisor Email Assignment Complete?

Company Address Company City Company State Company Zip
Week Ending Month Day Year
On Sunday

Leave Lunch Hour Blank If You Are Paid During This Time!!
In (Hour : Min) Out (Hour : Min) Lunch (Hour : Min) Daily Totals
[Mon] : : :
[Tue] : : :
[Wed] : : :
[Thur] : : :
[Fri] : : :
[Sat] : : :
[Sun] : : :

7 rows  
This form must be signed by both the Employee and the Supervisor. It is acceptable to have both parties sign and submit two separate but identical time sheets if that is more convenient than signing the same physical sheet.

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