2015 Hourly Exempt Timesheet Template - California
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Employee and P.I./Supervisor signatures are REQUIRED.
Employee Signature: Email/Phone: Date
PI/Supervisor Signature:
Print Name:
Date
Account Fund Dept ID Prog Chartfield 1 Chartfield 2 Wkstudy Cd Distr #
(Print or Type Full Name)
Pay Period
January
Total H ours in Month
176
Timesheet Due Date
01/21/15
Pay Date
01/30/15
READERS, TUTORS, and HOURLY EXEMPT EMPLOYEES
Employee Name:
2015 Hourly Exempt Timesheet
COE/CED/Team 2 Departments
University of California, B erk eley
ACTUAL HO URS WORKED
(record daily actual hours to the nearest quarter hour)
Weekly Totals:
Employee I D #:
Department:
Job Tit l e :
Submit approved timesheets to: 197M Cory Hall (Mail Code #1774), or y ou r departmental
drop box.
*Late timesheet submissions will be paid
on the next available payday.
ERSO Payroll Ser vices Use Only
Title Code
Funding Source Chartstring
Hourly Pay
Rate
TOTAL
0.00
0.00
0.00
0.00
0.00
0.00
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