Employee's Name
Please Print

Employee's Signature

Social Security No.

Job Order No.

Total Hours Worked to Nearest 1/4 Hour

Address

Dept.

Supervisor's Name

Supervisor's Signature

Total Hours in Words

Notice to Client: Your signature attests to the accuracy of the total hours indicated. Please note terms and conditions on the attached contract (pdf). To access the contract, you need Adobe Acrobat. To download Adobe Acrobat, click here.

Instructions for Clients:
1. Please make certain the hours you have verified are correct.
2. Time and half will be billed for all hours over 40 during the work week.
3. We welcome comments on their employees.

Notice to All Temps:

Employee --- Please
Check Assignment

Continuing

Completed

Check one:

Pick up check

Mail Check

Office Copy

Temp Copy

Client Copy