Print Form
HBS SMG Timesheet Change Request Form
Submit completed form to Joanne Fraysse – Email: joanne.fraysse@ucsf.edu, or Fax: 415-514-0400
REQUESTOR INFORMATION
Name
Phone #
EMPLOYEE INFORMATION
Employee Name
Employee ID #
Email Address
Timesheet Group #
TIMESHEET INFORMATION
Use one row per day. Note the current # of hours and hours type, and the new values needed. Leave blank for zero
hours.
Pay Period End Date (MM/DD/YYYY):
Current Values
Date (#) # of Hours Hours Type
# of Hours
New Values
Hours Type
Note: If changes are required for more than two weeks, use the Comments section to document those changes.
Comments
HR ADMIN PROCESSING This section to be completed by the HR Admin only
HR Admin Name
Retro Required
Date TS Change
Completed
Date Retro
Completed
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