CAPS Crew Time Card
10600 Virginia Ave.
Culver City, CA 90232
(310) 280-0755
400 Skokie Blvd.
Suite 460
Northbrook, IL 60062
(847) 480-7366
65 Bleecker Street
13th Floor
New York, NY 10012
(212) 925-1415
MAKING MULTIPLE COPIES PRESS HARD WHEN WRITING
CREW TIME CARD
PRODUCTION CO.
EMPLOYEE NAME
LOAN OUT
EMAILTELEPHONESOCIAL SECURITY NUMBER
FEDERAL I.D. NUMBER
RATE
$ PER HOUR DAY OTHER
CONTRACT TYPE OCCUPATIONUNION JOB NAME/NUMBER
DATE
LOCATION
ZIP CODE
AICP RATE START
1st MEAL
2nd MEAL
END
ST
1.5X
MP
COMMENTS
Employer: CAPS, LLC, FEIN: 27-4217142
M
F
S
U
N
M
O
N
T
U
E
W
E
D
T
H
U
F
R
I
S
A
T
AICP # BOX RENTAL
$
CAR ALLOWANCE
$
MILEAGE NON-TAXABLE
$
PER DIEM NON-TAXABLE
$
AICP # ADVANCE
$
AICP # OTHER
$
GROSS W/BOX RENTAL AND MILEAGE
$
AICP #
EMPLOYEE SIGNATURE APPROVED
AICP #
AICP #
MILEAGE TAXABLE
$
PER DIEM TAXABLE
$
GROSS
CAPS COPY
0197004
- -
TOTALS
CAPS Crew Time Card 1/1/2014 Page 1
Attention all CA employees: Effective 2/14/2014, CAPS has established a Medical Provider Network (MPN) for all work-related injuries and/or illnesses. In the event
of an injury, your care will be directed to a physician within the MPN and you have the right to pre-designate a doctor. For further information, please visit
https://www.capspayroll.com/MPNNotice.pdf, email [email protected], or call 877-243-9910.
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