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
Submit approved timesheets to: 197M Cory Hall (Mail Code #1774)
Account Fund Dept ID Prog Chartfield 1 Chartfield 2 Wkstudy Cd Distr #
Employee Name:
Pay Date
02/27/15
Pay Period
February
Total H ours in Month
160
Timesheet Due Date
02/18/15
2015 Hourly Exempt Timesheet
COE/CED/Team 2 Departments
Universi t y of Calif orni a, Berk el ey
READERS, TUTORS, and HOUR LY EXEMPT EMPLOYEES
TOTAL
ACTUAL HOURS WO RKE D
(record daily actual hours to the nearest quarter hour)
Weekly Tot als:
Submit approved timesheets to: 197M Cory Hall (Mail Code #1774), or your departmental
drop box.
*Late timesheet submissions will be paid
on the next avail able payday .
(Print or Type Full Name)
Employee ID #:
Department:
Job Tit le:
ERSO Payrol l Services Use Only
Tit le Code
Funding Source Chartstring Hourly Pay
Rate
0.00
0.00
0.00
0.00
0.00
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