2015 Hourly Exempt Timesheet Template - California
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Empl o yee and P.I./Superviso r si g n atu res ar e RE QUIRED.
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 Chart field 1 Chartfield 2 Wkstudy Cd Dist r #
Employee Name:
Pay Period
April
Total Hours in Month
176
Timesheet Due Date
04/20/15
Pay Date
05/01/15
2015 Hourly Exempt Timesheet
COE/CED/Team 2 Departments
University of California, Berkeley
READERS, TUTORS, and HOURLY EXEMPT EMPLOYEES
(Print or Type Ful l Name)
ACTUAL HOURS WORKED
(record daily actual hours to t he nearest quarter hour)
Weekly Totals:
TOTAL
Submit approved timesheets to: 197M Cory Hall (Mail Code #1774), or your departmental
drop box.
*Late times heet submissions will be paid
on the next available pay day.
Job Title:
Employee ID #:
Departm ent:
ERSO Payroll Services Use Only
Title Code
Funding Source Chartstring
Hourly Pay
Rate
0.00
0.00
0.00
0.00
0.00
0.00
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