Document 11912751

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Paul D. Camp Community College
Time, Attendance and Leave Record
Name: ___________________________________________________
Pay Period: _____________to
Employee ID #: ___________________________________________
FWSP Satisfactory Performance:
Last
Type: Part-time
First
Classified
Faculty
MI
FWSP-On
Mo Day Year
CWSP-Off
Other
____________
Mo Day Year
Yes
No
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Mo/Day
/
/
/
/
/
/
/
In/Out time
/
/
/
/
/
/
/
In/Out Time
/
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/
/
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/
In/Out time
/
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/
/
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/
Total Week 1
/
/
/
/
/
/
/
/
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Mo/Day
/
/
/
/
/
/
/
In/Out time
/
/
/
/
/
/
/
In/Out Time
/
/
/
/
/
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/
In/Out time
/
/
/
/
/
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/
Total Week 2
/
/
/
/
/
/
/
/
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Mo/Day
/
/
/
/
/
/
/
In/Out time
/
/
/
/
/
/
/
In/Out Time
/
/
/
/
/
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In/Out time
/
/
/
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/
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Total Week 3
/
/
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/
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/
Hours Worked
Leave Taken
Hours Worked
Leave Taken
Hours Worked
Leave Taken
Signatures indicate that all time required or allowed to work and/or all absences either paid or unpaid are accurately reported.
Certified Correct: __________________________________________________
Human Resource Office Use Only
Employee
Certified Correct: __________________________________________________
Supervisor
Recommend Approval: ______________________________________________
Vice President
Financial & Administrative Services
Total Hours Worked _______________
Regular
__________ X __________ = __________
Time & 1/2 __________ X __________ = __________
Straight
Time
__________ X __________ = __________
Leave balances either paid or unpaid have been properly recorded against accumulated
balances or charged against earnings.
Total Overtime
________________________________________
Approved:
___________________
_____
Vice President of Fin & Adm Services
Human Resource Office
________________________________________
Computing Services
_______________
Mo
Day
Year
_____________
_______________
Mo
Day
Year
Supervisor’s Explanation of Overtime: ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Rev 19-Oct-11
T:\COMMON\FORMS\TIME, ATTENDANCE, LEAVE
INSTRUCTIONS
.
Hourly:
This is the official record for all hourly employees. Record all hours worked, including the in
and out times for any time worked. Report hours worked in increments of tenths of an hour and noted below.
REPORTING INCREMENTS FOR WORK AND LEAVE IN TENTHS OF AN HOUR
0 Minutes
3 Minutes
9 Minutes
15 Minutes
21 Minutes
27 Minutes
33 Minutes
39 Minutes
45 Minutes
51 Minutes
57 Minutes
2 minutes, 59 seconds
8 minutes, 59 seconds
14 minutes, 59 seconds
20 minutes, 59 seconds
26 minutes, 59 seconds
32 minutes, 59 seconds
38 minutes, 59 seconds
44 minutes, 59 seconds
50 minutes, 59 seconds
56 minutes, 59 seconds
60 Minutes
0
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.9
1.0
Rev 19-Oct-11
T:\COMMON\FORMS\TIME, ATTENDANCE, LEAVE
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