University of Minnesota Duluth
Route this form to:
U Wide Form
UM 398
This form is for
departmental use.
Biweekly Payroll Timesheet
Rev: 6/1/01
This form is for departmental use. Be sure to include your payroll account
number in the shaded box below.
Last Name
Job Code
First Name
Empl Record
Pay Period Beginning and End Date
08/11/2014 to 08/24/2014
Empl ID
I hereby certify that the time recorded represents actual hours of employment for the period indicated.
Employee Signature
Job Title
Project Name
Student
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date
8/11
8/12
8/13
8/14
8/15
8/16
8/17
In
Out
In
Out
Yes
In
Out
No
Total
Week 1 Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date
8/18
8/19
8/20
8/21
8/22
8/23
8/24
In
Out
In
Out
In
Out
Total
Week 2 Hours
Total Hours Worked for Pay Period
Supervisor Verification: Repeat Total Hours Worked
1. Hours at
2. Hours at
3. Hours at
Straight Time
Time & ½
Double Time
Combination (Combo) Code
Supervisor Signature
Hours to Pay
Shift Differential
EARNINGS CODE
Date
The University of Minnesota is an equal opportunity educator & employer.
 2001by the Regents of the University of Minnesota.
Encumbrance-Option
RATE